The nurse is developing a care plan for the client diagnosed with type 1 diabetes. The nurse identifies the problem "high risk for hyperglycemia related to noncompliance with the medication regimen." Which statement is an appropriate short-term goal for the client?

The nurse will monitor the client's blood glucose levels four (4) times a day.

The client will demonstrate appropriate insulin injection techniques

The client will maintain normal kidney function with 30-ml/hr urine output.

The client will have a blood glucose level between 60-110 mg/dl at 1600.

Answer and Explanation

The Correct Answer is D

A. The nurse will monitor the client's blood glucose levels four (4) times a day: This is important, but it is an intervention rather than a goal. A goal should be measurable and focused on the client's outcome, such as maintaining specific glucose levels.

B. The client will demonstrate appropriate insulin injection techniques: This is a good educational goal, but it does not directly address the immediate concern. The problem states noncompliance, implying the client knows how to inject but isn't doing it consistently.

C. The client will maintain normal kidney function with 30-ml/hr urine output: While monitoring kidney function is important in diabetes, this goal does not address the immediate risk of hyperglycemia. Urine output is not the primary indicator of hyperglycemia.

D. The client will have a blood glucose level between 60-110 mg/dl at 1600: This short-term goal is specific, measurable, and time-bound. It addresses the desired outcome of maintaining blood glucose within a normal range, which addresses hyperglycemia due to noncompliance.

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Correct Answer is D

Explanation

A. "You may be able to stop the injections if you exercise regularly and adhere to the prescribed diet.": Type 1 diabetes is characterized by the body's inability to produce insulin due to autoimmune destruction of the beta cells in the pancreas. Insulin therapy is essential for life, regardless of diet or exercise.

B. "Once your pancreas recovers, you may be able to discontinue the injections.": In type 1 diabetes, the pancreas does not recover its ability to produce insulin. The condition is chronic, and insulin therapy will be needed for life.

C. "If you follow your diet closely, your blood sugar may be controlled by just taking insulin pills.": Oral hypoglycemic agents are used in type 2 diabetes, not type 1 diabetes. Clients with type 1 diabetes require insulin injections because their bodies do not produce insulin.

D. "You will need insulin injections for the rest of your life.": In type 1 diabetes, the pancreas does not produce insulin, so lifelong insulin injections or insulin pump therapy are necessary to manage blood glucose levels.

A. "I need to increase my intake of dietary items that are high in calcium." B. "I need to eat foods high in potassium." C. "I need to eat small, frequent meals and snacks if nauseated." D. "I need to drink at least 2 to 3 L of fluid daily."

Correct Answer is A

Explanation

A. "I need to increase my intake of dietary items that are high in calcium.": Hyper-parathyroidism leads to elevated calcium levels in the blood due to overproduction of parathyroid hormone (PTH). Increasing calcium intake would exacerbate the condition.

B. "I need to eat foods high in potassium.": Furosemide, a diuretic, can cause potassium loss through increased urination, so it is important to increase potassium intake. Foods like bananas, oranges, and potatoes are good sources of potassium.

C. "I need to eat small, frequent meals and snacks if nauseated.": Nausea is a common symptom in hyperparathyroidism, and small, frequent meals can help prevent nausea and improve overall comfort and nutritional intake.

D. "I need to drink at least 2 to 3 L of fluid daily.": Adequate hydration is important for kidney function and to help prevent kidney stones, which are a common complication in hyperparathyroidism due to high calcium levels.

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The nurse is developing a care plan for the client diagnosed with type 1 diabetes. The nurse identifies the problem "high risk for hyperglycemia related to noncompliance with the medication regimen." Which statement is an appropriate short-term goal for the client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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