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 D

Explanation

A. Restrict fluid intake: In Addison's disease, there is often a risk of dehydration due to insufficient aldosterone leading to fluid loss and electrolyte imbalance. Fluid restriction could exacerbate these problems and is contraindicated.

B. Weigh the client daily. Monitoring daily weight is crucial to detect rapid weight changes which can indicate fluid imbalance, a common issue in Addison's disease. It helps in early detection of complications like dehydration or fluid overload.

C. Provide a low-carbohydrate diet. A low-carbohydrate diet is not specifically recommended for Addison's disease. Clients with Addison’s might need an adequate intake of carbohydrates to prevent hypoglycemia, particularly during stress or illness.

D. Administer oral corticosteroids. Addison's disease is characterized by insufficient production of corticosteroids. Administering oral corticosteroids is essential to replace the missing hormones and prevent an Addisonian crisis, especially during stress or illness.

A. anti-inflammatory B. analgesic C. antipyretic D. antiplatelet aggregate

Correct Answer is D

Explanation

A. Anti-inflammatory: While aspirin does have anti-inflammatory properties, it is not given for this purpose in the context of preventing heart attacks. The anti-inflammatory action is more relevant in conditions like arthritis.

B. Analgesic: Aspirin is an analgesic and can relieve pain, but this is not the primary reason for its use in clients with a history of myocardial infarction.

C. Antipyretic: Aspirin has antipyretic properties, meaning it can reduce fever, but this is not the reason it is prescribed following a myocardial infarction.

D. Antiplatelet aggregate: Aspirin is used in clients with a history of myocardial infarction for its antiplatelet properties. It helps to prevent the aggregation of platelets, thereby reducing the risk of blood clots that can lead to another heart attack.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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