The nurse is providing discharge teaching to a client with diabetes mellitus, type 2. Which of the following information should the nurse include in the teaching?
"Keep your feet clean and check them daily for any breaks in the skin."
"Use a heating pad to keep hands and feet warm."
"You should not get the pneumonia vaccine."
"Schedule eye examinations and be sure to attend them every 5 years.
The Correct Answer is A
A. Foot care is crucial for individuals with diabetes due to the increased risk of neuropathy and poor circulation. Daily inspection for cuts, blisters, or other injuries is vital to prevent infections and complications, such as diabetic ulcers or amputations.
B. Heating pads should not be used by people with diabetes, as they may not be able to feel the heat due to diabetic neuropathy. This increases the risk of burns and injury. It is safer to use other methods for warming hands and feet, such as wearing socks or gloves.
C. People with diabetes are at an increased risk for infections, including pneumonia. The pneumonia vaccine (PPSV23 and/or PCV13) is recommended for individuals with diabetes to help reduce the risk of pneumonia. This statement is false.
D. People with diabetes should have regular eye examinations, but they should be scheduled annually, not every 5 years. Diabetes can lead to diabetic retinopathy, which can cause vision loss if not monitored and treated promptly. Annual eye exams are recommended to detect any changes early.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "It describes a list of foods that are alike in terms of the amount of carbohydrate, fat, protein, and calories in each food." This definition does not describe the glycemic index. The glycemic index focuses on how quickly a food raises blood glucose, not on the carbohydrate, fat, protein, and calorie content of foods.
B. "It is a value assigned to foods based on how slowly or how quickly those foods cause increases in your blood glucose level." The glycemic index (GI) measures how quickly a carbohydrate-containing food raises blood glucose levels after consumption. Foods with a high GI cause rapid spikes in blood glucose, while those with a low GI cause slower increases.
C. "It is a diet plan that tracks the amount of carbohydrates in food to ensure that a predetermined amount is consumed during a given meal." This describes carbohydrate counting or a carbohydrate-based meal plan, not the glycemic index.
D. "It is a scoring system that describes the amount of carbohydrates, in grams, that is present in each serving of a food." This describes the concept of carbohydrate counting, which focuses on the total grams of carbohydrates in food, not the rate at which those carbohydrates affect blood glucose.
Correct Answer is A
Explanation
A. Polyuria, a common symptom in uncontrolled diabetes mellitus, can lead to excessive urinary loss of potassium, increasing the risk of hypokalemia. Monitoring serum potassium is crucial because imbalances can affect cardiac and muscle function.
B. While magnesium is important, it is not the primary concern in the context of polyuria related to diabetes unless specific symptoms or complications suggest a deficiency.
C. Calcium is not as directly affected by polyuria from diabetes as potassium is.
D. Chloride levels may fluctuate with fluid loss, but potassium remains the more critical electrolyte to monitor in this scenario.
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