The home health nurse is visiting a client with diabetes mellitus, type 2 who reports nausea and vomiting for the past 3 days and not taking prescribed insulin because of the inability to "keep food down." Which of the following responses would be most appropriate for the nurse to make?

"Continue taking your usual insulin dose even if you have nausea and vomiting."

"Check your blood sugar level twice each day even if you are not eating."

"Avoid drinking soda or fruit juices because it will increase your blood sugar level."

"Limit your daily fluid intake as it may aggravate your nausea and vomiting.

Answer and Explanation

The Correct Answer is A

A. It is important for the client with diabetes to continue taking their insulin as prescribed, even if they are unable to eat. When the body is under stress (e.g., due to illness), blood sugar levels can rise, and insulin is still necessary to manage glucose levels. Skipping insulin could lead to hyperglycemia or diabetic ketoacidosis (DKA), which can be life-threatening. The nurse should encourage the client to continue insulin therapy and consider alternative ways to manage nausea (e.g., antiemetics).
B. While it is important for the client to monitor their blood glucose, checking it twice a day may not be sufficient during illness. The client should check their blood glucose more frequently (e.g., every 4 hours) to avoid the risk of hyperglycemia or DKA, especially if they are not eating or drinking regularly.
C. When a person with diabetes is ill and unable to eat, it is important to ensure they stay hydrated and maintain glucose levels. Clear liquids such as soda or fruit juice may help with hydration and provide a quick source of sugar if the blood glucose drops too low, though they should be consumed in moderation.
D. It is essential for the client to stay hydrated, especially if they are vomiting. Dehydration can worsen blood sugar control and lead to further complications. The client should be encouraged to drink small, frequent sips of water or electrolyte solutions to stay hydrated.

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Correct Answer is A

Explanation

A. Unable to perform activities of daily living, requires total care, and unable to recognize family members is characteristic of late stage Alzheimer's disease. In this stage, cognitive decline is severe, and clients lose the ability to communicate effectively, recognize loved ones, and carry out basic tasks without assistance.
B. Repeating questions even after reorientation is more typical of early to moderate stages of Alzheimer’s, when short-term memory is significantly affected but overall function is not yet completely lost.
C. Difficulty finding correct words, known as anomia, usually appears in the early to moderate stages and is not specific to the late stage.
D. Impulsive behavior and poor judgment may occur in moderate stages, but in late-stage Alzheimer’s, clients often become non-verbal and immobile rather than impulsive.

Correct Answer is ["2"]

Explanation

determine how many capsules the nurse should administer for 1 dose, we first need to divide the total daily dose by the number of doses:

1,800 mg ÷ 3 doses = 600 mg per dose.

Now, since each capsule contains 300 mg, we divide the dose by the amount per capsule:

600 mg ÷ 300 mg per capsule = 2 capsules.

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The home health nurse is visiting a client with diabetes mellitus, type 2 who reports nausea and vomiting for the past 3 days and not taking prescribed insulin because of the inability to "keep food down." Which of the following responses would be most appropriate for the nurse to make?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with late stage Alzheimer's disease. Which of the following behaviors should the nurse expect the client to demonstrate?

Correct Answer is A

Explanation

The nurse is administering prescribed gabapentin (Neurontin) 1,800 mg, PO, daily, divided into 3 doses. The medication is supplied in 300 mg capsules. How many capsules should the nurse administer for 1 dose? Do not round your answer. Enter numeric value only.

Correct Answer is ["2"]

Explanation

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