As the nurse you are explaining the treatment plan to an adolescent for their newly diagnosed Type 2 Diabetes. Which treatment options below are appropriate for Type 2 Diabetes? Select FOUR that apply
Metformin twice a day, taken with food to prevent Gl upset
Long acting lantus before bed to control blood sugar overnight
Rapid Acting Insulin dosed using a sliding scale before every meal
Consistent aerobic exercise every day with a goal of 60 minutes per day.
Regular blood sugar monitoring throughout the day
Use of a continuous subcutaneous insulin pump to control blood sugar.
Well balanced diet and monitoring simple sugar intake
Correct Answer : A,D,E,G
Rationale:
A. Metformin twice a day, taken with food to prevent GI upset: Metformin is the first-line medication for Type 2 Diabetes and helps improve insulin sensitivity. Taking it with food reduces gastrointestinal side effects, making this a key part of treatment.
B. Long acting lantus before bed to control blood sugar overnight: While insulin may be necessary in some Type 2 Diabetes cases, especially with significant hyperglycemia, it is not typically the initial treatment for newly diagnosed adolescents. It is more common in Type 1 Diabetes or advanced Type 2.
C. Rapid Acting Insulin dosed using a sliding scale before every meal: Sliding scale insulin is generally reserved for Type 1 Diabetes or severe cases of Type 2 Diabetes with uncontrolled glucose. It is not the standard initial treatment in newly diagnosed Type 2 adolescents.
D. Consistent aerobic exercise every day with a goal of 60 minutes per day: Regular physical activity is essential in managing Type 2 Diabetes as it improves insulin sensitivity and aids in weight management.
E. Regular blood sugar monitoring throughout the day: Monitoring blood glucose levels helps track the effectiveness of treatment and guides lifestyle or medication adjustments in Type 2 Diabetes management.
F. Use of a continuous subcutaneous insulin pump to control blood sugar: Insulin pumps are typically used for Type 1 Diabetes. Their use in Type 2 Diabetes is rare and usually reserved for specific cases, not standard treatment.
G. Well balanced diet and monitoring simple sugar intake: Dietary management focusing on balanced nutrition and limiting simple sugars is fundamental in controlling Type 2 Diabetes and preventing glucose spikes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Routine childhood vaccines cannot be given to children with HIV, so extreme precaution needs to be taken for them to not get sick: Many vaccines are safe and recommended for children with HIV to protect them from preventable diseases; complete avoidance is not advised.
B. All recommended routine childhood vaccines are safe for children with HIV, but guidelines suggest administering only live, attenuated vaccines to provide optimal immune response: Live vaccines may pose risks in immunocompromised children; thus, their administration depends on immune status, not given universally for all children with HIV.
C. All recommended routine childhood vaccines are safe for children with HIV, regardless of their CD4 count or immune status: Immune status affects vaccine safety; children with severe immunosuppression may have contraindications for live vaccines.
D. Most recommended routine childhood vaccines are safe for children with HIV, with the exception that children with severe immunosuppression should not receive varicella or measles-mumps-rubella (MMR): In children with severe immunosuppression, live vaccines like MMR and varicella are contraindicated due to risk of vaccine-related disease, while other vaccines remain safe.
Correct Answer is B
Explanation
Rationale:
A. Vitamin C with iron tablet: While iron supplements may be useful for treating anemia if blood loss has been significant, they do not address the underlying clotting factor deficiency in Hemophilia A. Vitamin C supports tissue healing, but it is not a treatment for this disorder.
B. Factor VIII: Hemophilia A is caused by a deficiency or dysfunction of clotting factor VIII, leading to impaired blood coagulation. The primary treatment is replacing factor VIII through IV infusion to restore normal clotting ability and prevent or control bleeding episodes.
C. Factor IX: Factor IX is used to treat Hemophilia B, also known as Christmas disease, which involves a deficiency in factor IX. It is not appropriate for Hemophilia A since it does not correct the missing clotting factor.
D. Aspirin: Aspirin impairs platelet function and increases bleeding risk. In clients with bleeding disorders such as Hemophilia A, it is contraindicated because it can worsen bleeding tendencies and complicate management.
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