The major goal of medical nutrition therapy for clients with diabetes mellitus is to:

reduce serum lipid levels

maintain as near-normal a blood glucose level as possible

improve health through optimal nutrition

wean insulin-dependent clients with diabetes from insulin through diet control

Answer and Explanation

The Correct Answer is B

A. Reduce serum lipid levels: While managing lipid levels is important for clients with diabetes, it is not the primary goal of medical nutrition therapy (MNT). The main focus is on blood glucose control rather than just lipid management.

B. Maintain as near-normal a blood glucose level as possible: The primary goal of MNT for clients with diabetes mellitus is to achieve and maintain near-normal blood glucose levels to prevent complications such as retinopathy, neuropathy, and cardiovascular disease.

C. Improve health through optimal nutrition: While optimal nutrition is important for overall health, the main objective of MNT in diabetes is focused on blood glucose control. Proper nutrition contributes to overall health, but it is not the sole goal.

D. Wean insulin-dependent clients with diabetes from insulin through diet control: While diet control can help manage blood glucose, it is unlikely to completely eliminate the need for insulin in insulin-dependent clients with type 1 diabetes.

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Correct Answer is A

Explanation

A. Turn the lights down and shut the client's door: Increased body temperature can be an early sign of thyroid storm. Decreasing environmental stimuli (such as light and noise) helps lower stress on the body and may prevent exacerbating the symptoms.

B. Call for an immediate electrocardiogram (ECG): While thyroid storm can cause tachycardia and arrhythmias, an elevated temperature by 1° F alone does not warrant an ECG. The priority is to manage the potential triggers for the rise in temperature first.

C. Administer a dose of acetaminophen: A mild temperature increase in Graves' disease could indicate the beginning of thyroid storm, which requires more immediate interventions like cooling measures and possibly antithyroid medications.

D. Calculate the client's apical-radial pulse deficit: Monitoring for a pulse deficit could be important if the client is experiencing arrhythmias or tachycardia, but the priority is to address the rising temperature and environmental factors, as these can escalate into a thyroid storm.

A. He has already received insulin B. Oral glucose is too slow to act C. He is unconscious and at risk for aspiration D. He is allergic to glucose

Correct Answer is C

Explanation

A. He has already received insulin: While Jacob uses an insulin pump, the immediate issue is severe hypoglycemia. Whether he recently received insulin or not, the priority is to raise his blood sugar. Insulin doesn't preclude oral glucose if the patient is conscious and able to swallow safely.

B. Oral glucose is too slow to act: Oral glucose acts quickly when absorbed, but it is not the preferred option in this situation due to the patient's unconsciousness. Intramuscular glucagon acts more rapidly and is safer for immediate administration.

C. He is unconscious and at risk for aspiration: Since Jacob is unconscious, he is at high risk for aspiration if he were given oral glucose. In such cases, the intramuscular administration of glucagon is preferred to quickly raise blood glucose and avoid the risk of choking or aspiration.

D. He is allergic to glucose: There is no indication in the patient's profile that he has an allergy to glucose, and it would be uncommon for someone with diabetes to be allergic to glucose. The primary concern here is his unconsciousness, not an allergy.

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The major goal of medical nutrition therapy for clients with diabetes mellitus is to:

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Naxlex Comprehensive Predictor Exams

While assessing a client with Graves' disease, the nurse notes that the client's temperature has risen 1° F. Which action should the nurse take first?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

The nurse is providing an in-service on thyroid disorders. One of the attendees asks the nurse. "Why don't the people in the United States get goiters as often? Which statement by the nurse is the best response?

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Which situation would most appropriately describe a client possibly require glucose management by sliding scale insulin?

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