A nurse is providing education to a client who is suspected of having type 1 diabetes mellitus. Which of the following statements would the nurse include in client education?

"This type of diabetes means that the cells in your pancreas do not produce any insulin."

"This can be a reversible condition, so we will discuss ways to improve your health."

"Your HbA1c level of 5.7% or below indicates you have impaired glucose tolerance."

"Since you still have working beta cells, you can try a diet to lower your blood sugar."

Answer and Explanation

The Correct Answer is A

A. "This type of diabetes means that the cells in your pancreas do not produce any insulin.": Type 1 diabetes mellitus is characterized by the autoimmune destruction of beta cells in the pancreas, which results in an absolute deficiency of insulin. Patients require insulin therapy for management.

B. "This can be a reversible condition, so we will discuss ways to improve your health.": Type 1 diabetes is not reversible. It is a lifelong condition that requires continuous insulin therapy.

C. "Your HbA1c level of 5.7% or below indicates you have impaired glucose tolerance.": An HbA1c level of 5.7% or below is considered normal or indicative of well-controlled blood glucose levels, not impaired glucose tolerance. Impaired glucose tolerance is typically identified with HbA1c levels from 5.7% to 6.4%.

D. "Since you still have working beta cells, you can try a diet to lower your blood sugar.": In type 1 diabetes, the beta cells are mostly or completely non-functional, meaning dietary changes alone are insufficient. Insulin replacement is necessary.

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Correct Answer is A

Explanation

A. Administering a nebulized beta-adrenergic: Administering a nebulized beta-adrenergic agonist (such as albuterol) is the highest priority because it rapidly opens the airways by relaxing the bronchial smooth muscle. This intervention is crucial for immediate relief of bronchospasm and improving ventilation during an asthma exacerbation.

B. Initiating oxygen therapy: While oxygen therapy is important for maintaining adequate oxygenation, it does not address the underlying bronchoconstriction. Therefore, it is secondary to bronchodilator administration in terms of priority.

C. Providing immediate rest for the client: Rest is important, but it is not an immediate priority in an acute asthma exacerbation. The primary focus should be on improving airway patency and breathing.

D. Positioning the client in high-Fowler's: Positioning the client in high-Fowler's position can help facilitate breathing and maximize lung expansion, but it does not address the acute bronchospasm. Thus, it is a supportive measure rather than the highest priority.

A. Hypoglycemia B. Cardiac dysrhythmias C. Neurogenic shock D. Seizures

Correct Answer is B

Explanation

A. Hypoglycemia: Hypoglycemia is not directly related to low potassium levels. While electrolyte imbalances can impact overall metabolic processes, hypoglycemia is more commonly associated with insulin use or other medications, rather than hypokalemia.

B. Cardiac dysrhythmias: Hypokalemia (potassium level of 3.3 mEq/L) is associated with an increased risk of cardiac dysrhythmias because potassium is crucial for normal electrical activity in the heart. Low potassium can lead to abnormal heart rhythms, which can be dangerous and life-threatening.

C. Neurogenic shock: Neurogenic shock is typically related to a sudden loss of sympathetic nervous system signals, often from spinal cord injury, and is not directly associated with low potassium levels.

D. Seizures: Seizures are not a common complication of hypokalemia. They are more often related to severe electrolyte imbalances like low sodium, or neurological conditions, rather than low potassium.

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A nurse is providing education to a client who is suspected of having type 1 diabetes mellitus. Which of the following statements would the nurse include in client education?

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Naxlex Comprehensive Predictor Exams

A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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