In caring for a client who is taking oral hypoglycemic agents, the nurse recognizes these medications are used in the treatment of which type of diabetes?

gestational, requiring therapy for a very short time

type 1, not stable with insulin administration only

type 1 and type 2, not controlled by diet and exercise

type 2, not controlled with diet and exercise.

Answer and Explanation

The Correct Answer is D

A. Gestational, requiring therapy for a very short time: Oral hypoglycemic agents are typically not recommended for gestational diabetes, as insulin is usually the preferred treatment for managing blood glucose levels during pregnancy.

B. Type 1, not stable with insulin administration only: Type 1 diabetes is characterized by insulin deficiency. Oral hypoglycemic agents are designed for type 2 diabetes, where the body still produces insulin but has insulin resistance.

C. Type 1 and type 2, not controlled by diet and exercise: Oral hypoglycemic agents are typically not used for type 1 diabetes. These medications are primarily for type 2 diabetes, when diet and exercise alone are insufficient to manage blood sugar.

D. Type 2, not controlled with diet and exercise: Oral hypoglycemic agents are used in the treatment of type 2 diabetes when diet and exercise alone are insufficient to manage blood glucose levels. These medications help improve insulin sensitivity, stimulate insulin production, or decrease glucose production in the liver.

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Correct Answer is D

Explanation

A. Give the client juice or hard candy immediately: While giving juice or hard candy is an appropriate treatment for hypoglycemia, assessing the blood glucose level first is crucial to confirm that the symptoms are indeed due to low blood sugar.

B. Call the health care provider: While it's important to notify the healthcare provider if the situation worsens or if there's a concern about the client's safety, the first priority is to assess the blood glucose level and take immediate action to treat the hypoglycemia.

C. Have the client lie down and see if symptoms subside: Lying down does not address the underlying cause of hypoglycemia. The client may need glucose to raise their blood sugar levels, so this is not the most effective first action.

D. Assess the blood glucose level, and administer glucose in the most appropriate form: Assessing the blood glucose level will confirm whether the symptoms are indeed due to hypoglycemia, and then the nurse can proceed with administering glucose in the most appropriate form (such as oral glucose, juice, or glucose tablets).

A. “I may need calcium replacement after surgery." B. “I need to take thyroid hormones for the rest of my life." C. “After surgery. I won't need to take thyroid medication." D. “I can receive pain medication if I feel that I need it."

Correct Answer is C

Explanation

A. “I may need calcium replacement after surgery.": After a complete thyroidectomy, there is a risk of damage to the parathyroid glands, which regulate calcium levels. Clients may require calcium supplementation if their parathyroid function is affected.

B. “I need to take thyroid hormones for the rest of my life.": After a complete thyroidectomy, the client will require lifelong thyroid hormone replacement to maintain normal metabolic function, as the body no longer produces thyroid hormones.

C. “After surgery, I won't need to take thyroid medication.": After a complete thyroidectomy, the client will definitely need thyroid hormone replacement for the rest of their life, as their body can no longer produce thyroid hormones naturally.

D. “I can receive pain medication if I feel that I need it.": It is important for the nurse to ensure the client knows that pain management is available as needed after surgery to help with comfort and recovery.

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In caring for a client who is taking oral hypoglycemic agents, the nurse recognizes these medications are used in the treatment of which type of diabetes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client tells the nurse about experiencing symptoms of a hypoglycemic insulin reaction. Which action should the nurse take FIRST?

Correct Answer is D

Explanation

After teaching a client who is recovering from a complete thyroidectomy, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional instruction?

Correct Answer is C

Explanation

The nurse is performing an assessment on a client with a diagnosis of myxedema (hypothyroidism). Which assessment finding should the nurse expect to note in this client?

A 19-year-old woman has been diagnosed with hypothyroidism and has started thyroid replacement therapy with levothyroxine (Synthroid). After 6 months, she calls the nurse to say that she feels better and wants to stop the medication. Which response by the nurse is correct?

The home care nurse visits a client with a diagnosis of hyperparathyroidism who is taking furosemide and provides dietary instructions to the client. Which statement by the client indicates a need for additional instruction?

The nurse is developing a care plan for the client diagnosed with type 1 diabetes. The nurse identifies the problem "high risk for hyperglycemia related to noncompliance with the medication regimen." Which statement is an appropriate short-term goal for the client?

A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for this client?

An external insulin pump is prescribed for a client with diabetes mellitus. The client asks the nurse about the functioning of the pump. The nurse bases the response on the information that the pump:

Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks?