The nurse is teaching an adult patient with Type 1 diabetes that a primary cause of the development of diabetic ketoacidosis (DKA) is:

Omitted meals

Polydipsia and polyphagia

Not taking enough insulin

An insulin overdose

Answer and Explanation

The Correct Answer is C

Choice A rationale

Omitted meals can lead to hypoglycemia, not diabetic ketoacidosis (DKA). DKA is caused by a lack of insulin, not a lack of food intake.

Choice B rationale

Polydipsia and polyphagia are symptoms of hyperglycemia, not causes of DKA. They occur as the body tries to compensate for high blood sugar levels.

Choice C rationale

Not taking enough insulin is a primary cause of the development of DKA. Without enough insulin, the body begins to break down fat for fuel, which produces acids known as ketones.

Choice D rationale

An insulin overdose would lead to hypoglycemia, not DKA. DKA is caused by a lack of insulin, not an excess.

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

Explanation

Choice A rationale

Rotating injection sites when administering insulin glargine is important to prevent lipodystrophy, a condition that can affect insulin absorption.

Choice B rationale

Insulin glargine has no peak of action, which reduces the risk of hypoglycemia. This is a key feature of long-acting insulins like glargine.

Choice C rationale

Food does not need to be consumed within 30 minutes after injection of insulin glargine. This is a characteristic of rapid-acting insulins, not long-acting insulins like glargine.

Choice D rationale

Checking for microalbuminuria if blood glucose levels are above 280 mg/dL is a good practice. Microalbuminuria can be an early sign of kidney damage, which can occur with poorly controlled diabetes.

A. Obtain a pair of heavy-duty gloves to wear for cold exposures. B. Refrain from going outdoors during the winter months. C. Raise the hands above the head to relieve the spasms. D. Use small rubber balls to exercise your hands and fingers daily.

Correct Answer is A

Explanation

Choice A rationale

Raynaud’s disease is a condition that affects blood flow to the extremities, including the fingers and toes, in response to cold temperatures or stress. Wearing heavy-duty gloves during cold exposures can help to keep the hands warm and reduce the risk of a Raynaud’s attack.

Choice B rationale

While avoiding cold temperatures can help to prevent Raynaud’s attacks, it is not always practical or possible for individuals to refrain from going outdoors during the winter months.

Choice C rationale

Raising the hands above the head is not typically recommended to relieve spasms associated with Raynaud’s disease.

Choice D rationale

Using small rubber balls to exercise the hands and fingers daily may be beneficial for some individuals with Raynaud’s disease, but it is not typically the primary recommendation for managing this condition.

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The nurse is teaching an adult patient with Type 1 diabetes that a primary cause of the development of diabetic ketoacidosis (DKA) is:

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discharging a client who was just prescribed insulin glargine daily at 2000. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)

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

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A client diagnosed with Raynaud’s disease is experiencing severe pain and spasms in the fingers and toes of their hands. What advice should the nurse include in the discharge instructions for this client?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

The nurse is providing teaching to a client who is being discharged with a prescription for warfarin. Which information should be included in the teaching for this medication?

The nurse explains to a patient diagnosed with diabetes mellitus that the major benefit of frequent self-monitoring of blood glucose is that:

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