A nurse is teaching about self-monitoring to a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
"I will check my urine once a day for ketones."
"I will check my blood glucose every 4 hours when I am sick."
"I will notify my provider if pre-meal glucose is 120 mg/dL."
"I will check blood glucose every 5 minutes when lightheaded."
The Correct Answer is B
A. Checking urine for ketones is generally recommended when blood glucose is consistently high, but once daily may not be sufficient during illness or hyperglycemic episodes.
B. Monitoring blood glucose every 4 hours during illness helps manage potential fluctuations and prevent diabetic ketoacidosis, making this statement correct.
C. A pre-meal blood glucose of 120 mg/dL is within the acceptable range, so notifying the provider is unnecessary.
D. Checking blood glucose every 5 minutes is excessive and not standard practice, even if feeling lightheaded.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Shakiness is a classic symptom of hypoglycemia due to adrenaline release as the body responds to low glucose levels.
B. Decreased appetite is not typical of hypoglycemia; in fact, hunger may increase as the body signals the need for energy.
C. Increased thirst is a symptom of hyperglycemia, not hypoglycemia.
D. Skin is typically cool and clammy during hypoglycemia, not warm and moist.
Correct Answer is ["A","B","E","F"]
Explanation
A. Tachycardia is a common response to hypoglycemia due to the body's release of adrenaline.
B. Diaphoresis is also associated with hypoglycemia and results from sympathetic nervous system activation.
C. Frequent urination is a symptom of hyperglycemia, not hypoglycemia.
D. Thirst also indicates hyperglycemia, not hypoglycemia.
E. Hunger is a common sign of hypoglycemia as the body signals the need for glucose.
F. Shakiness is a symptom of hypoglycemia due to adrenaline release.
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