A nurse is educating a patient and their family about DKA.
What should the nurse emphasize regarding DKA prevention?
The importance of avoiding insulin at all costs.
The need for frequent monitoring of blood glucose levels.
The significance of consuming a high-carbohydrate diet.
The importance of avoiding follow-up appointments.
The Correct Answer is B
Choice A rationale:
Insulin is a crucial part of managing diabetes, especially in the case of diabetic ketoacidosis (DKA).
It helps lower blood sugar levels and counteracts the effects of high blood glucose, which is characteristic of DKA.
Avoiding insulin at all costs is not an appropriate approach as it can lead to worsening of DKA.
Choice B rationale:
The nurse should emphasize the need for frequent monitoring of blood glucose levels.
This is because DKA is associated with significantly elevated blood glucose levels.
Regular monitoring allows for timely adjustments in insulin and other treatments, reducing the risk of complications.
Monitoring blood glucose levels is a fundamental aspect of diabetes management.
Choice C rationale:
Consuming a high-carbohydrate diet is not advisable in the context of DKA prevention.
High-carbohydrate diets can lead to elevated blood sugar levels, which may exacerbate the risk of DKA.
It's essential to maintain a balanced and controlled carbohydrate intake for individuals with diabetes.
Choice D rationale:
Avoiding follow-up appointments is not a suitable approach for DKA prevention.
Regular follow-up appointments with healthcare providers are essential for monitoring and adjusting the diabetes management plan.
Skipping follow-up appointments can lead to uncontrolled blood sugar levels and an increased risk of DKA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Education on insulin therapy is a fundamental aspect of DKA management.
Insulin is a crucial component in treating DKA as it helps lower elevated blood glucose levels and corrects the ketosis and acidosis.
It is essential for the patient and their family to understand how insulin works, how to administer it, and when to administer it.
Proper insulin therapy can prevent further complications and guide the management of DKA.
Choice B rationale:
Focusing solely on dietary recommendations is not appropriate in the initial management of DKA.
While dietary management is important for long-term diabetes care, it is not the primary focus during the acute phase of DKA.
The priority is to address the high blood glucose levels and ketoacidosis, which is best achieved through insulin therapy and fluid resuscitation.
Choice C rationale:
Avoiding discussions about blood glucose monitoring is not recommended.
Blood glucose monitoring is a critical aspect of DKA management.
It helps healthcare providers determine the effectiveness of insulin therapy and the patient's response to treatment.
Avoiding these discussions would be detrimental to the patient's care.
Choice D rationale:
Neglecting to mention the risk of cerebral edema is not appropriate in DKA education.
Cerebral edema is a severe complication of DKA that can be life-threatening.
It is crucial to inform the patient and their family about this risk so they can seek prompt medical attention if symptoms occur.
Neglecting to mention this risk could lead to delayed treatment and potential harm to the patient.
Correct Answer is C
Explanation
Choice A rationale:
"Acute complications like hypoglycemia cannot be prevented in children.”.
Hypoglycemia is an acute complication of diabetes that can be prevented and managed.
Education on recognizing and treating low blood sugar episodes, monitoring blood glucose levels, and adjusting insulin or medications appropriately can significantly reduce the risk of hypoglycemia in children with diabetes.
Choice B rationale:
"Long-term complications such as retinopathy and nephropathy are not a concern for children.”.
Long-term complications like retinopathy (eye problems) and nephropathy (kidney problems) can affect children with diabetes, especially if their blood sugar levels are poorly controlled over time.
It is essential to emphasize the importance of glycemic control and regular medical check-ups to monitor for early signs of these complications and take preventive measures.
Choice C rationale:
"Strategies can be implemented to prevent both acute and long-term complications.”.
This is The correct answer.
Strategies can be implemented to prevent both acute and long-term complications in children with diabetes.
These strategies include maintaining good glycemic control through proper insulin management, following a healthy diet, engaging in regular physical activity, and regular medical follow-ups.
Preventive measures, such as eye and kidney screenings, can also help detect potential issues early and intervene appropriately.
Choice D rationale:
"There is no need for regular follow-up visits to monitor glycemic control.”.
Regular follow-up visits to monitor glycemic control are essential for children with diabetes.
These visits allow healthcare professionals to assess the child's blood sugar management, adjust treatment plans as needed, and provide ongoing education and support.
Skipping follow-up visits can increase the risk of complications and hinder effective diabetes management.
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