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. Regular insulin: Regular insulin is the preferred insulin for the treatment of diabetic ketoacidosis (DKA) because it has a rapid onset of action and can be administered intravenously. This allows for quick correction of hyperglycemia and ketoacidosis.

B. NPH insulin: NPH (Neutral Protamine Hagedorn) insulin is an intermediate-acting insulin that does not act quickly enough to be effective in the acute management of DKA. It is used for basal glycemic control and not for emergencies.

C. Insulin detemir: Insulin detemir is a long-acting insulin and is not suitable for the acute treatment of DKA. It is used for maintaining basal levels of insulin over a longer period rather than for rapid glucose control.

D. Insulin glargine: Insulin glargine is also a long-acting insulin used to provide a steady level of insulin over 24 hours and is not appropriate for acute management of DKA, which requires rapid-acting insulin.

A. "Have an eye examination once per year." B. "Examine your feet carefully every day." C. "Wear compression stockings daily." D. "Maintain stable blood glucose levels."

Correct Answer is A

Explanation

A. "Have an eye examination once per year." Annual eye examinations are essential for detecting diabetic retinopathy early. Early detection and treatment can help prevent vision loss. This is a key recommendation for managing diabetes-related eye complications.

B. "Examine your feet carefully every day." While daily foot examinations are important for preventing diabetic foot ulcers and other complications, they do not directly address the prevention of retinopathy and nephropathy, which are more related to blood glucose control and vascular health.

C. "Wear compression stockings daily." Compression stockings are used to manage conditions like chronic venous insufficiency and to prevent deep vein thrombosis, but they are not related to the prevention of diabetic retinopathy or nephropathy.

D. "Maintain stable blood glucose levels." Keeping blood glucose levels stable is crucial for preventing both retinopathy and nephropathy. Chronic hyperglycemia is a major risk factor for these complications, and good glycemic control reduces the risk of developing or worsening these conditions. This is also crucial but does not specifically target the complications as precisely as regular eye exams do.

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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

Correct Answer is A

Explanation

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

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