The nurse is conducting discharge teaching with a client who has been newly diagnosed with type 1 diabetes mellitus. Which statement from the client indicates the need for additional teaching?

As long as I’m in my house, I can walk barefoot

It is important to test my blood sugar at least four times a day

I need to be alert for infections

I need to stay hydrated during the day

Answer and Explanation

The Correct Answer is A

Choice A reason: Walking barefoot, even at home, is risky for type 1 diabetes patients due to neuropathy, which reduces foot sensation, increasing injury risk. Unnoticed cuts can lead to infections, exacerbated by poor healing from hyperglycemia, indicating a need for further education on foot care.

Choice B reason: Testing blood sugar at least four times daily is correct for type 1 diabetes to monitor glucose levels and adjust insulin. This reflects proper self-management, aligning with standard care guidelines, so no additional teaching is needed for this statement.

Choice C reason: Being alert for infections is critical in type 1 diabetes, as hyperglycemia impairs immune function, increasing infection risk. This statement shows appropriate awareness of complications, consistent with proper self-care, so no further teaching is required.

Choice D reason: Staying hydrated is important in type 1 diabetes to prevent dehydration from polyuria, a common symptom due to glucose-induced osmotic diuresis. This statement indicates correct understanding, aligning with management goals, so no additional teaching is needed.

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Correct Answer is A

Explanation

Choice A reason: Chronic back pain from a gymnastics injury and anxiety are well-documented reasons for opioid use. Opioids alleviate physical pain by binding to mu-opioid receptors, reducing pain signals in the central nervous system. They also have anxiolytic effects, calming the amygdala and reducing anxiety, making this a likely reason for use.

Choice B reason: Witnessing parental drug or alcohol use may influence substance use behaviors through learned coping mechanisms or genetic predisposition. However, there is no evidence in the scenario confirming this history, making it less specific to the client’s situation compared to their documented pain and anxiety conditions.

Choice C reason: Opioids can induce sedation, promoting sleep, but the client’s diagnoses of chronic pain and anxiety are more directly linked to opioid use. Sleep issues are not mentioned in the scenario, making this a less likely primary reason compared to pain and anxiety management.

Choice D reason: Opioids are not used to treat hallucinations, which are unrelated to the client’s diagnoses. They also do not enhance work performance; instead, they impair cognitive function. This choice is incorrect, as it does not align with the client’s medical history or opioid use patterns.

A. Delivers a low concentration of oxygen B. Delivers a constant rate of a specific concentration of oxygen C. Restricts the client’s ability to eat, speak, or drink D. Delivers a high concentration of oxygen

Correct Answer is A

Explanation

Choice A reason: A nasal cannula delivers low-flow oxygen (2-6 L/min, 24-44% FiO2), suitable for patients needing minimal supplemental oxygen. It provides low concentrations to maintain adequate oxygenation without precise control, ideal for stable patients with mild hypoxemia, like those with chronic lung conditions.

Choice B reason: A nasal cannula does not deliver a constant rate of specific oxygen concentration. Unlike Venturi masks, it provides variable FiO2 based on the patient’s breathing pattern, making this statement incorrect for describing the cannula’s low-flow, non-precise oxygen delivery.

Choice C reason: A nasal cannula does not significantly restrict eating, speaking, or drinking, as it sits below the nose, allowing oral functions. This contrasts with masks that cover the mouth, making this statement incorrect for the cannula’s minimally invasive design.

Choice D reason: A nasal cannula does not deliver high-concentration oxygen, which requires devices like nonrebreather masks (up to 90-100% FiO2). Its low-flow delivery (24-44% FiO2) is insufficient for high oxygen needs, making this choice incorrect for its capabilities.

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The nurse is conducting discharge teaching with a client who has been newly diagnosed with type 1 diabetes mellitus. Which statement from the client indicates the need for additional teaching?

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Correct Answer is A

Explanation

A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. The nurse explains to the client that this method of oxygen delivery does which of the following?

Correct Answer is A

Explanation

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