The client is a 58-year-old male who wants to be screened for diabetes mellitus. The client has a sister who has type 2 diabetes. He has a history of depression, which is treated with paroxetine 10 mg orally every day. The client also states that he occasionally takes cannabis in edible form. He denies smoking or drinking. He works In a chemical factory where he is occasionally exposed to fumes. The client's BMI is 28.
Which of the following indicates an understanding? (Select all that apply)
If my fasting blood sugar is less than 100 next time, I can go back to my usual eating habits.
Making these changes will also help me avoid other chronic health conditions.
I can never eat sugar again.
If I make the changes we talked about, I will not get type 2 diabetes.
If I have symptoms like increased thirst and urination, I should come in and get my blood sugar checked.
Correct Answer : B,E
Correct:
B- Making these changes will also help me avoid other chronic health conditions. This statement indicates an understanding because the client recognizes that the lifestyle changes discussed will not only help prevent or manage diabetes but also have a positive impact on other chronic health conditions such as cardiovascular disease and obesity.
E- If I have symptoms like increased thirst and urination, I should come in and get my blood sugar checked. This statement indicates an understanding because the client acknowledges the importance of monitoring their blood sugar levels if they experience symptoms commonly associated with diabetes, such as increased thirst and urination.
Incorrect choices:
A- If my fasting blood sugar is less than 100 next time, I can go back to my usual eating habits. This statement indicates a misunderstanding. It suggests that as long as the client's fasting blood sugar is below 100, they can resume their previous eating habits, which is not accurate. It's important to emphasize that long-term lifestyle changes are necessary, regardless of individual blood sugar readings.
C- I can never eat sugar again. This statement indicates a misunderstanding. While it's important to minimize the consumption of sugary foods and beverages, it's not necessary to completely eliminate all sugar from the diet. Moderation and mindful consumption are key.
D- If I make the changes we talked about, I will not get type 2 diabetes. This statement indicates a misunderstanding. While making positive lifestyle changes can significantly reduce the risk of developing type 2 diabetes, it does not guarantee complete prevention. Genetic and other factors can still influence an individual's susceptibility to the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The client's question about whether the surgical opening will be visible suggests that they have concerns or misconceptions about the upcoming fecal diversion surgery. By reviewing the client's expectations of elimination after surgery, the PN can provide accurate information and address any anxieties or concerns the client may have.
The other options are not directly related to the client's question and are not the most appropriate actions to take in this situation:
A. Determining if this is the client's first indwelling catheter is unrelated to the client's question about the visibility of the surgical opening. It may be important to assess the client's history of urinary catheter use for other purposes, but it does not address the client's immediate concern.
B. Asking the client if they finished the bowel sterilization prescription is also unrelated to the visibility of the surgical opening. While bowel sterilization may be a part of the preoperative preparation for fecal diversion surgery, it does not address the client's questions and concerns.
D. Verifying that the client had nothing by mouth (NPO) for the past 24 hours is important for general preoperative care but does not address the client's specific question about the visibility of the surgical opening.
Correct Answer is C
Explanation
Croup is a viral infection that affects the upper airways, causing inflammation and narrowing of the air passages. In severe cases, it can lead to respiratory distress, including increased work of breathing and decreased oxygen saturation levels. Monitoring the child's oxygen saturation level using a pulse oximeter is an essential intervention to assess the severity of respiratory distress and the need for further interventions.
A. Encouraging the child to drink cool, clear liquids can help soothe the throat and prevent dehydration.
B. Instructing the mother to play with the child for stimulation and distraction can help provide comfort and alleviate anxiety.
D. Administering acetaminophen as needed (PRN) can help reduce fever and discomfort. However, none of these interventions directly address the potential respiratory distress and the need for oxygenation assessment.
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