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

"Wear compression stockings daily."

"Have an eye examination once per year."

"Maintain stable blood glucose levels."

"Examine your feet carefully every day."

Answer and Explanation

The Correct Answer is C

A. "Wear compression stockings daily":

Compression stockings are not directly related to preventing the complications of retinopathy and nephropathy in diabetes. They are more commonly recommended for managing conditions like venous insufficiency and preventing blood clots.

B. "Have an eye examination once per year":

While regular eye examinations are important for monitoring and early detection of diabetic retinopathy, maintaining stable blood glucose levels is more directly related to preventing the progression of retinopathy.

C. "Maintain stable blood glucose levels":

This is the correct instruction. Stable blood glucose levels are crucial in preventing and minimizing the long-term complications of diabetes, including retinopathy (damage to the retina) and nephropathy (kidney damage). Consistent blood glucose control is key to reducing the risk of complications.

D. "Examine your feet carefully every day":

Daily foot examinations are essential for preventing diabetic foot complications, including ulcers and infections. While important for overall diabetes management, foot care is not specifically directed at preventing retinopathy and nephropathy.

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Correct Answer is B

Explanation

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

This statement suggests a misunderstanding. Weight reduction programs, when done appropriately, can contribute to better blood sugar control, but they should not necessarily lead to hypoglycemia if managed properly.

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

This is the correct statement. Injecting insulin into the abdominal area is a common and recommended practice as it allows for consistent absorption and is a well-vascularized area.

C. “Insulin allows me to eat ice cream at bedtime.”

This statement suggests a misunderstanding. While insulin helps manage blood sugar levels, it should not be seen as a means to consume unlimited quantities of high-sugar foods, as a balanced diet is still crucial.

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

This statement is partially correct. Blood sugar readings are often recommended before and after meals to assess the impact of food intake on blood glucose levels.

A. Apply a cold pack to the client's upper arm. B. Remove the PICC line. C. Notify the provider who inserted the PICC line. D. Stop the infusion and measure the circumference of both upper arms.

Correct Answer is D

Explanation

A. Applying a cold pack to the client's upper arm is not the first action. The priority is to assess and address the cause of the edema. Cold packs may be used for comfort, but they do not address the underlying issue.

B. Removing the PICC line is not the first action. Before considering removal, it is essential to assess the extent and cause of the edema. Removing the line without proper evaluation could lead to premature discontinuation of necessary treatment.

C. Notifying the provider who inserted the PICC line is important, but it is not the first action. The nurse needs to assess and intervene promptly. The provider should be informed after initial actions are taken.

D. Stopping the infusion and measuring the circumference of both upper arms is the first action. This helps determine the extent of the edema and whether it is related to the infusion. It is crucial to assess for complications such as infiltration or extravasation of the TPN solution.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes edema of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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