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 D

Explanation

A. A 75-year-old female client who has diabetes mellitus type 1: While older age and gender (female) may slightly increase the risk of thyroid cancer, diabetes mellitus type 1 is not a known significant risk factor for thyroid cancer.
B. A 68-year-old male client who has testicular cancer: Testicular cancer itself is not strongly associated with an increased risk of thyroid cancer. While cancer survivors may face a higher risk for secondary cancers, testicular cancer is not typically linked to thyroid cancer.
C. A 48-year-old male client with a history of hyperthyroidism: Hyperthyroidism does not increase the risk for thyroid cancer. In fact, hyperthyroidism is more commonly associated with conditions like Graves' disease and toxic goiter, not thyroid cancer.
D. A 40-year-old female client who received radiation treatment for breast cancer 8 years ago: Previous radiation treatment, particularly at a young age, is a well-established risk factor for developing thyroid cancer. Radiation exposure can damage the DNA in thyroid cells, leading to an increased risk of cancer later in life.

Correct Answer is ["30"]

Explanation

12 units of insulin should be delivered every hour.
In 250 mL of the IV solution, there are 100 units of insulin.
If 100 units are in 250 mL, then to find the volume for 1 unit, we divide the total volume by the total units: 250 mL ÷ 100 units = 2.5 mL/unit
Since we need to deliver 12 units per hour, and each unit is in 2.5 mL, we multiply the desired units per hour by the volume per unit: 12 units/hour × 2.5 mL/unit = 30 mL/hour
Rounding to the nearest whole number, the IV pump should be programmed to deliver 30 mL per hour.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is screening clients for an increased risk of thyroid cancer. Which of the following client's would have the highest risk?

Correct Answer is D

Explanation

Correct Answer is ["30"]

Explanation

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