A nurse is teaching about disease management for a client who has type 1 diabetes mellitus.

Which statement made by the client indicates an understanding of the teaching?

"A weight reduction program will make me hypoglycemic.”.

"Insulin allows me to eat ice cream at bedtime.”.

"I give the insulin injections in my abdominal area.”.

"I am to take my blood sugar reading after meals.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Weight reduction programs are generally beneficial for type 2 diabetes, not type 1.
Choice B rationale:
Insulin does not permit unrestricted dietary choices.
Choice C rationale:
Insulin injections are often given in the abdominal area due to its high vascularity, promoting faster absorption.
Choice D rationale:
Blood sugar readings are typically taken before meals to determine insulin dosage.

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Correct Answer is C

Explanation

Choice A rationale:
Encouraging brief exercise before meals to promote appetite is not directly related to feeding safety for a client who has dysphagia following a stroke.
Choice B rationale:
Placing the client with the head reclined back to facilitate swallowing is incorrect. It’s safer for the client to sit upright during feeding to prevent aspiration.
Choice C rationale:
Encouraging the client to take small bites can help prevent choking and aspiration, making it a safe feeding practice for clients with dysphagia.
Choice D rationale:
Placing food in the affected side of the mouth is not a safe practice. It’s recommended to place food on the unaffected side of the mouth.

A. pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg. B. pH 7.50, HCO3- 20 mEq/L, PaCO2 32 mm Hg. C. pH 7.55, HCO3- 30 mEq/L, PaCO2 31 mm Hg. D. pH 7.30, HCO3- 26 mEq/L, PaCO2 50 mm Hg.

Correct Answer is A

Explanation

Choice A rationale:
These values indicate metabolic acidosis, which is common in clients with chronic kidney disease. The kidneys are unable to excrete hydrogen ions and reabsorb bicarbonate, leading to a low pH and low bicarbonate levels.
Choice B rationale:
These values indicate alkalosis, not typically associated with chronic kidney disease. The pH is high, indicating a basic or alkaline state, and the bicarbonate level is normal.
Choice C rationale:
These values indicate metabolic alkalosis, which is not typically seen in clients with chronic kidney disease. The pH and bicarbonate levels are both high.
Choice D rationale:
These values indicate respiratory acidosis, not typically associated with chronic kidney disease. The high PaCO2 level indicates that the lungs are not effectively eliminating CO2, leading to acidosis.

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A nurse is teaching about disease management for a client who has type 1 diabetes mellitus. Which statement made by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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Correct Answer is A

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A nurse is teaching about disease management for a client who has type 1 diabetes mellitus.

Which statement made by the client indicates an understanding of the teaching?