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."

Answer and Explanation

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.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Monofilament testing is recommended to assess for peripheral neuropathy, a common complication in diabetes.
B. Hearing exams are not specifically indicated as part of annual diabetes care.
C. Serum creatinine is monitored to assess kidney function, as diabetes can lead to kidney disease.
D. Testing urine for microalbumin detects early signs of kidney damage.
E. HbA1c provides information about long-term glucose control and is a key indicator in managing diabetes complications.

A. 1 tsp sugar B. Graham crackers C. 4 oz diet soda D. 4 oz skim milk

Correct Answer is D

Explanation

A. While sugar can raise blood glucose, it’s often not the most practical or readily available option in a clinical setting.
B. Graham crackers can be useful for longer-term glucose control but might not act as quickly as a liquid option.
C. Diet soda does not contain sugar and will not raise blood glucose levels.
D. Skim milk provides carbohydrates that are quickly absorbed, making it an effective choice for treating mild hypoglycemia.

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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?

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Naxlex Comprehensive Predictor Exams

To monitor for complications in a patient with type II diabetes, the healthcare provider will write a prescription for the client to schedule which of the following tests at least annually? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 65 mg/dL on the glucometer, he should give the client which of the following?

Correct Answer is D

Explanation

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