A patient with type 1 diabetes mellitus is preparing for a moderate 30-minute exercise period. Which action best indicates understanding of condition management?

The patient eats a high-carbohydrate snack before the exercise period.

The patient reduces insulin use during days when exercise periods are planned.

The patient should know blood sugar before activity.

The patient administers insulin after exercise rather than before exercise.

Answer and Explanation

The Correct Answer is C

A. The patient eats a high-carbohydrate snack before the exercise period: It is important for a patient with type 1 diabetes to ensure they have adequate glucose levels for exercise. Eating a high-carbohydrate snack before exercise is not always necessary unless blood glucose is low.

B. The patient reduces insulin use during days when exercise periods are planned: Insulin needs may be adjusted in relation to exercise, but reducing insulin across the board is not recommended without professional guidance.

C. The patient should know blood sugar before activity: It is important for patients with type 1 diabetes to check their blood sugar before exercise to ensure it is in a safe range. If the blood sugar is too low, they should consume a carbohydrate to prevent hypoglycemia.

D. The patient administers insulin after exercise rather than before exercise: Insulin should be timed appropriately to cover food intake and prevent post-meal hyperglycemia. Delaying insulin until after exercise could lead to high blood sugar levels.

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Correct Answer is D

Explanation

A. The nurse will monitor the client's blood glucose levels four (4) times a day: This is important, but it is an intervention rather than a goal. A goal should be measurable and focused on the client's outcome, such as maintaining specific glucose levels.

B. The client will demonstrate appropriate insulin injection techniques: This is a good educational goal, but it does not directly address the immediate concern. The problem states noncompliance, implying the client knows how to inject but isn't doing it consistently.

C. The client will maintain normal kidney function with 30-ml/hr urine output: While monitoring kidney function is important in diabetes, this goal does not address the immediate risk of hyperglycemia. Urine output is not the primary indicator of hyperglycemia.

D. The client will have a blood glucose level between 60-110 mg/dl at 1600: This short-term goal is specific, measurable, and time-bound. It addresses the desired outcome of maintaining blood glucose within a normal range, which addresses hyperglycemia due to noncompliance.

A. Push IV potassium B. Administer intravenous potassium C. Assess fluid volume status D. Check for urinary ketones E. Maintain adequate ventilation

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

Explanation

A. Push IV potassium: Potassium should be administered slowly and with caution, as administering potassium too rapidly can cause cardiac arrhythmias. Potassium should only be given according to specific protocols and after monitoring serum potassium levels.

B. Administer intravenous potassium: In diabetic ketoacidosis (DKA), potassium levels often decrease due to insulin therapy, which shifts potassium into cells. Intravenous potassium is often required to replace lost potassium and prevent dangerous complications.

C. Assess fluid volume status: In DKA, the client experiences significant fluid loss due to polyuria (frequent urination) and dehydration. It is important to closely monitor the client’s fluid volume status and correct it with intravenous fluids, typically normal saline.

D. Check for urinary ketones: Urinary ketones are a key marker in diagnosing DKA. The nurse should monitor for the presence of ketones in the urine as it helps assess the degree of ketosis and the effectiveness of treatment.

E. Maintain adequate ventilation: In DKA, respiratory compensation (such as Kussmaul breathing) is common as the body attempts to correct acidosis. Adequate ventilation should be ensured to support the respiratory system and correct the metabolic acidosis.

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A patient with type 1 diabetes mellitus is preparing for a moderate 30-minute exercise period. Which action best indicates understanding of condition management?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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

Explanation

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