A school nurse is teaching a group of high school students about risk factors for diabetes. What action has the greatest potential to reduce an individual's risk for developing diabetes?

Have blood glucose levels checked annually.

Stop using tobacco in any form.

Undergo eye examinations regularly.

Lose weight, if obese.

Answer and Explanation

The Correct Answer is D

A. Annual glucose checks aid early detection but do not reduce the risk of developing diabetes.
B. Stopping tobacco use improves overall health but has less direct impact on diabetes risk compared to weight loss.
C. Eye exams help detect diabetic complications but do not prevent diabetes.
D. Weight loss in obese individuals significantly reduces insulin resistance and is the most effective action to lower the risk of developing type 2 diabetes.

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Correct Answer is C

Explanation

A. Diuretics are used to manage fluid overload and ascites, not ammonia levels.
B. Fluid restriction may be necessary in cases of hyponatremia but does not lower ammonia levels.
C. Reducing protein intake helps decrease ammonia production, since protein breakdown in the gut contributes to ammonia formation, which the impaired liver cannot detoxify effectively.
D. Vitamin K is given to improve clotting in liver disease but does not affect ammonia metabolism.

A. Establish fall-prevention measures. B. Encourage bed rest whenever possible. C. Encourage the use of assistive devices. D. Provide constant supervision.

Correct Answer is A

Explanation

A. Fall-prevention measures (such as ensuring a clutter-free environment, using nonslip footwear, and keeping items within reach) are the most effective and practical first-line approach to reducing injury risk in clients with muscle weakness due to Cushing syndrome.
B. While rest may be needed, prolonged bed rest can worsen deconditioning and increase other risks such as thromboembolism.
C. Assistive devices may be helpful but are part of a fall-prevention strategy, not a complete solution.
D. Constant supervision is not always feasible and should be reserved for clients with significant cognitive or physical impairments.

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A school nurse is teaching a group of high school students about risk factors for diabetes. What action has the greatest potential to reduce an individual's risk for developing diabetes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

Correct Answer is C

Explanation

The nurse providing care for a client with Cushing syndrome has identified the nursing diagnosis of risk for injury related to weakness. How should the nurse best reduce this risk?

Correct Answer is A

Explanation

The physician orders Synthroid 100 mcg po daily for a patient with hypothyroidism. The medication is supplied in 0.1-mg tablets. How many tablets will the nurse administer?

Diagnostic testing has revealed that a client's hepatocellular carcinoma (HCC) is limited to one lobe. The nurse should anticipate that this client's plan of care will focus on what intervention?

A nurse is caring for a client who has been admitted to the hospital for the treatment of chronic pancreatitis. The client has been stabilized, and the nurse is now planning health promotion and educational interventions. Which of the following should the nurse prioritize?

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications?

A client with a history of type 1 diabetes has just been admitted to the critical care unit (CCU) for diabetic ketoacidosis. The CCU nurse should prioritize what assessment during the client's initial phase of treatment?

A nurse who provides care in a community clinic assesses a wide range of individuals. The nurse should identify which client as having the highest risk for chronic pancreatitis?

A nurse is providing discharge education to a client who has undergone a laparoscopic cholecystectomy. During the immediate recovery period, the nurse should recommend what foods?

A nurse is caring for a client who presents to the clinic reporting symptoms that suggest diabetes. What criteria would support checking blood levels for the diagnosis of diabetes?