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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Being NPO for a short period poses minimal risk of fluid deficit if oral intake was adequate before.
B. Clients with left-sided heart failure are more at risk for fluid volume excess, not deficit.
C. End-stage renal failure patients on dialysis are managed to prevent fluid overload; dialysis removes excess fluid.
D. Gastroenteritis with fever increases fluid loss through vomiting, diarrhea, and insensible loss, putting the client at high risk for fluid volume deficit.

A. Educating the client about expectations and care following surgery B. Educating the client about the management of blood glucose after discharge C. Educating the client about post discharge lifestyle modifications D. Educating the client about the potential benefits of pancreatic transplantation

Correct Answer is C

Explanation

A. Surgical intervention is not the primary treatment for chronic pancreatitis and may not be necessary for all patients.
B. Blood glucose management is important, especially if there’s pancreatic endocrine involvement, but it is part of a broader need for lifestyle changes.
C. Post-discharge lifestyle modifications—such as alcohol cessation, smoking cessation, dietary changes, and medication adherence—are essential in preventing flare-ups and slowing disease progression, making this the priority focus.
D. Pancreatic transplantation is a rare and extreme measure, not commonly considered in the management of chronic pancreatitis.

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The nurse is caring for diabetic clients. Which of the following clients with type 1 diabetes is most likely to experience adequate glucose control?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?

Correct Answer is D

Explanation

A nurse is caring for a client who has been admitted to the hospital for the treatment of chronic pancreatitis. The client has been stabilized, and the nurse is now planning health promotion and educational interventions. Which of the following should the nurse prioritize?

Correct Answer is C

Explanation

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