A nurse teaches a client with diabetes mellitus who is experiencing numbness and reduced sensation. Which statement should the nurse include in this client's teaching to prevent injury?
Examine your feet using a mirror every other day.
Rotate your insulin injection sites every week.
Check your blood glucose level before each meal.
Use a bath thermometer to test the water temperature.
The Correct Answer is D
Choice A rationale: Examining feet every other day is insufficient for a client with diabetic neuropathy. The loss of protective sensation, a hallmark of this condition, necessitates daily foot inspections to identify any cuts, blisters, or other injuries that may go unnoticed due to the nerve damage. This proactive measure helps prevent serious complications like foot ulcers and infections.
Choice B rationale: Rotating insulin injection sites is a crucial practice to prevent lipohypertrophy, which is the accumulation of fatty tissue at injection sites. However, this action does not directly address the primary concern of preventing injury from reduced sensation, which is a consequence of diabetic peripheral neuropathy.
Choice C rationale: Checking blood glucose levels before meals is essential for effective glycemic control and appropriate insulin dosing. While good glucose control can help slow the progression of diabetic neuropathy, this specific action does not directly prevent immediate injury to the feet or other body parts that are experiencing reduced sensation.
Choice D rationale: Using a bath thermometer is a vital safety measure for individuals with diabetic neuropathy. Since the reduced sensation can impair the ability to perceive extreme temperatures, using a thermometer prevents accidental burns or scalding from excessively hot water, which could lead to severe skin damage and potential infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Taking insulin immediately before exercise can be dangerous for a person with diabetes. Physical activity increases glucose uptake by muscle cells, which, when combined with the effect of exogenous insulin, can lead to a rapid and significant drop in blood glucose levels, resulting in exercise-induced hypoglycemia.
Choice B rationale: Eating a large meal immediately before or during exercise is not the recommended treatment for hypoglycemia. While a large meal will raise blood glucose, it is not the most rapid or efficient method. A concentrated source of simple carbohydrates is required to quickly raise blood sugar to a safe level.
Choice C rationale: Hard candy contains simple carbohydrates, such as sucrose or dextrose, which are rapidly absorbed into the bloodstream. This quick absorption is crucial for reversing the symptoms of hypoglycemia, such as lightheadedness and shakiness, which are caused by insufficient glucose delivery to the brain.
Choice D rationale: For many people with diabetes, adjusting insulin dosage is necessary to prevent hypoglycemia during exercise. However, a blanket recommendation to take no insulin before exercise is not scientifically sound or safe. The appropriate action depends on the type, duration, and intensity of exercise, as well as current blood glucose levels.
Correct Answer is ["3.2"]
Explanation
Step 1:
80 mg ÷ 125 mg × 5 mL = 3.2 mL.
The nurse will administer 3.2 mL
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