Exhibits
Which of the following should the nurse plan to include when providing teaching for the client? Select all that apply.
How to check blood glucose at home
Instructions on how to take metoprolol
Check feet weekly on the same day each week
Manifestations of hyperglycemia and hypoglycemia
Perform 100 min of physical activity per week
Weight loss tips
Correct Answer : A,D,E,F
Rationale for Correct Answers
- How to check blood glucose at home: The client has hyperglycemia and may have undiagnosed diabetes. Teaching self-monitoring of blood glucose is essential for ongoing glycemic control, treatment adjustments, and early detection of dangerous fluctuations.
- Manifestations of hyperglycemia and hypoglycaemia: The client is already showing signs of hyperglycemia (polyuria, weight loss, fatigue). Understanding the symptoms of both high and low blood sugar helps prevent complications and allows timely self-intervention.
- Perform 100 min of physical activity per week: Moderate physical activity helps improve insulin sensitivity and blood glucose regulation. While 150 min/week is ideal, 100 min is a beneficial starting point for clients new to exercise or with complications like foot ulcers.
- Weight loss tips: The client has a BMI of 27, which falls into the overweight category. Weight loss is often beneficial for improving blood glucose control in individuals with type 2 diabetes and reducing overall health risks.
Rationale for Incorrect Answers
- Instructions on how to take metoprolol: There is no indication in the data that the client has hypertension, arrhythmia, or another condition that warrants beta-blocker therapy. Teaching this would be irrelevant unless metoprolol is newly prescribed.
- Check feet weekly on the same day each week: Clients with diabetes or suspected diabetes should be taught to inspect their feet daily, not weekly. Delayed detection of wounds or infection can lead to severe complications, including amputation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. ST segment: The ST segment represents the period between the end of ventricular depolarization and the beginning of ventricular repolarization. It does not reflect impulse conduction from the sinus node to the atrioventricular (AV) node.
B. QRS complex: The QRS complex represents ventricular depolarization and does not reflect impulse conduction through the atria or the AV node. It mainly reflects the electrical activity of the ventricles.
C. PR interval: The PR interval measures the time it takes for the electrical impulse to travel from the sinus node through the atria and AV node before reaching the ventricles. It is the most appropriate component for evaluating impulse conduction from the sinus node through the AV node.
D. PP interval: The PP interval measures the time between successive P waves, which corresponds to the time between atrial depolarizations. It does not specifically reflect conduction through the AV node.
Correct Answer is B
Explanation
A. Use large-print books: Meniere’s disease primarily affects balance and hearing. Large-print books are not specifically necessary for managing Meniere’s disease, although they may benefit clients with vision impairment.
B. Avoid standing on chairs or ladders: Meniere's disease can cause vertigo, which increases the risk of falls. The nurse should advise the client to avoid activities that could lead to falls, such as standing on chairs or ladders, especially during episodes of vertigo.
C. Stay away from flickering lights: Flickering lights may trigger migraines or seizures in some individuals but are not specifically related to Meniere’s disease, avoiding flickering lights is not a primary focus for managing the disease.
D. Minimize unnecessary room changes: While minimizing sudden movements or changes in the environment can be helpful for maintaining balance, "minimizing unnecessary room changes" is not a key instruction for managing Meniere's disease.
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