The nurse is providing teaching to a client about self-management of type 2 diabetes mellitus. Which information provided by the client indicates understanding?

Using salt, herbs, and spices will improve the flavor of foods.

Restrict alcoholic beverages to no more than 1-2 per week.

Eat a protein snack 30 minutes before any exercise workout.

Get an influenza vaccine every year as soon as available.

Answer and Explanation

The Correct Answer is D

A. While using salt, herbs, and spices may enhance the flavor of foods, it does not specifically relate to self-management of type 2 diabetes mellitus.

B. Restricting alcoholic beverages is important in diabetes management, but the frequency and quantity recommended may vary based on individual factors and should be discussed with a healthcare provider.

C. Eating a protein snack before exercise can help stabilize blood sugar levels, but it should be consumed before and after exercise, not only before, to provide sustained energy.

D. Getting an influenza vaccine every year is a crucial aspect of diabetes self- management, as people with diabetes are at increased risk of complications from influenza. This demonstrates understanding of the importance of preventive care in managing diabetes.

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Correct Answer is A

Explanation

A. Ensuring oral suction is available is the most essential intervention to maintain a clear airway and prevent aspiration during and after seizures, particularly in an unconscious client.

B. Providing frequent mouth care is important for oral hygiene but may not be as critical as ensuring a patent airway during seizures.

C. Keeping the room at a comfortable temperature is important for overall comfort but is not the most essential intervention during seizure activity.

D. Maintaining the client in a semi-Fowler's position may help with ventilation and drainage but is not as crucial as ensuring airway patency.

A. Increase oxygen flow. B. Administer additional nebulizer treatment as ordered. C. Raise the head of the bed. D. Apply a nonrebreather oxygen mask. E. Provide client incentive spirometer and instruct on use. F. Take and monitor vital signs.

Correct Answer is ["A","B","C","D","F"]

Explanation

A. The patient’s oxygen saturation remains below the target of 94% despite initial oxygen therapy. Therefore, increasing the oxygen flow might be necessary to achieve better oxygenation.

B. Since the patient remains symptomatic with ongoing wheezes, administering another dose of the nebulizer treatment as ordered, since the prescription included PRN can help to further open the airways and alleviate wheezing.

C. Elevating the head of the bed can help improve lung expansion and ease the work of breathing, which is particularly beneficial in respiratory distress situations.

D. Switching to a nonrebreather mask may be appropriate if the patient’s oxygen saturation does not improve sufficiently with the current method of oxygen delivery. This type of mask can deliver a higher concentration of oxygen.

E. While incentive spirometry is generally used for preventing pulmonary complications (such as pneumonia or atelectasis) after surgery or in conditions where patients are likely to be immobile, it may not be immediately beneficial or a priority in the acute management of an asthma attack. The primary focus should be on stabilizing the patient’s respiratory status through medication and oxygen therapy. Thus, this option is less critical at this stage.

F. Continuous monitoring of vital signs is crucial in acute cases like this to assess the patient's response to interventions and detect any deterioration in the clinical status.

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The nurse is providing teaching to a client about self-management of type 2 diabetes mellitus. Which information provided by the client indicates understanding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client that is unconscious and having seizures. Which nursing intervention is most essential in this client's plan of care (POC)

Correct Answer is A

Explanation

Patient Data Exhibits After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.

Correct Answer is ["A","B","C","D","F"]

Explanation

Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

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