The nurse is caring for diabetic clients. Which of the following clients with type 1 diabetes is most likely to experience adequate glucose control?
A client who skips breakfast when the glucose reading is greater than 220 mg/dL (12.3 mmol/L)
A client who never deviates from the prescribed dose of insulin
A client who adheres closely to a meal plan and meal schedule
A client who eliminates carbohydrates from the daily intake
The Correct Answer is C
A. Skipping meals can lead to fluctuations in blood glucose and increase the risk of hypoglycemia, especially when insulin is still active.
B. Insulin dosing may need to be adjusted based on blood glucose levels, carbohydrate intake, and physical activity. Fixed dosing without adjustment can lead to poor control.
C. Adhering to a consistent meal plan and schedule helps maintain steady blood glucose levels and aligns insulin action with food intake, promoting better glucose control.
D. Eliminating carbohydrates is not recommended. Carbohydrates are essential for energy, and the focus should be on consistent, healthy carb intake rather than complete elimination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While foot ulcers can be painful, diabetic polyneuropathy often causes loss of sensation, making ulcers less noticeable rather than more painful.
B. Preventing foot ulcers is critical because complications can lead to infections, amputations, and loss of mobility, potentially resulting in institutionalization; maintaining foot health supports independent living.
C. Hypoglycemia and fall risk are valid concerns in diabetes but are not directly related to foot care.
D. Oral antihyperglycemics do not directly cause decreased circulation; this is more commonly related to underlying vascular disease, not medication side effects.
Correct Answer is ["8.8"]
Explanation
Step 1: Determine the concentration in mg per mL
200 mg ÷ 5 mL = 40 mg/mL
Step 2: Use the formula
Volume to give (mL) = Desired dose ÷ Concentration per mL
Volume = 350 mg ÷ 40 mg/mL = 8.75 mL
Step 3: Round to the nearest tenth
8.75 mL → 8.8 mL
Rationale:
To calculate the correct volume of liquid medication, divide the ordered dose by the concentration. Round as directed.
Final Answer: 8.8 mL
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