The nurse is planning a class about blood glucose monitoring for a group of clients with diabetes mellitus. Which timing of glucose testing would apply for any client regardless of the client's age or type of diabetes?

Prior to exercising.

Before going to bed.

Immediately after meals.

During acute illness.

Answer and Explanation

The Correct Answer is D

A. Prior to exercising: Testing before exercise is important, especially for clients on insulin, but may not be necessary for all clients depending on their diabetes management and regimen.

B. Before going to bed: This is often recommended for insulin-dependent diabetics to avoid nocturnal hypoglycemia, but it's not universally required for all clients.

C. Immediately after meals: Postprandial glucose testing is useful, especially for gestational diabetes or insulin adjustments, but it is not routinely required for all diabetics.

D. During acute illness: All clients with diabetes should monitor blood glucose more frequently during illness, as stress hormones can cause hyperglycemia or unexpected hypoglycemia.

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Correct Answer is B

Explanation

A. Recommend that the client avoid driving over the bridge: Avoidance reinforces the anxiety and prevents the client from developing effective coping mechanisms. Over time, this may worsen the phobia and reduce the client’s functional independence and quality of life.

B. Teach the client to listen to music or audio books while driving: Calming distractions can help reduce anxiety symptoms and promote gradual exposure to the feared situation. This approach supports desensitization while helping the client stay in control and manage symptoms.

C. Tell the client to drive over the bridge until fear is manageable: Flooding, or forced prolonged exposure, may overwhelm the client and worsen anxiety. A more gradual, supportive approach is generally safer and more effective in treating specific and anxiety.

D. Encourage the client to have the spouse drive in stressful places: Delegating driving to someone else may provide short-term relief, but it limits the client’s independence and does not promote long-term coping or resolution of the anxiety trigger.

Correct Answer is ["1350"]

Explanation

Rationale:

Fluid resuscitation rate using the Parkland formula:

Calculate the total fluid volume needed for the first 24 hours.

The Parkland formula: 4 mL × client weight (kg) × % TBSA burned.

Client weight = 90 kg

TBSA burned = 45%

Total fluid volume = 4 mL × 90 kg × 45 = 16,200 mL

Determine the amount of fluid to be given in the first 8 hours.

According to the Parkland formula, half of the total fluid volume is administered in the first 8 hours from the time of the burn injury.

Fluid for first 8 hours = 16,200 mL / 2

= 8,100 mL

Calculate the infusion rate for the first 8 hours.

The burn occurred at 1000. The nurse arrives at 1200. This means 2 hours have already passed since the burn occurred within the initial 8-hour period.

Remaining time in the first 8 hours = 8 hours - 2 hours

= 6 hours.

Infusion rate (mL/hour) = Fluid for remaining first 8 hours / Remaining time in first 8 hours

= 8,100 mL / 6 hours

= 1350 mL/hour.

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The nurse is planning a class about blood glucose monitoring for a group of clients with diabetes mellitus. Which timing of glucose testing would apply for any client regardless of the client's age or type of diabetes?

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Naxlex Comprehensive Predictor Exams

A client returns to the mental health clinic for assistance with an anxiety reaction that is manifested by a rapid heartbeat, sweating, shaking, and nausea while driving over the bay bridge. Which action in the treatment plan should the nurse implement?

Correct Answer is B

Explanation

Correct Answer is ["1350"]

Explanation

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