The nurse knows a patient with type 1 diabetes needs more education when the patient makes which of the following statements?
“I must take insulin pills for the rest of my life."
“I will count my carbohydrates at each meal and snack."
“I will monitor my feet carefully every day."
"I will try to keep my blood glucose between 80 and 130 mg/dL before meals."
The Correct Answer is A
A. Insulin is typically administered via injections or an insulin pump, not in pill form. Individuals with type 1 diabetes require exogenous insulin to manage their blood sugar levels because their pancreas does not produce insulin.
B. Carbohydrate counting is a fundamental skill for individuals with diabetes, as it allows them to adjust their insulin dosage to match their carbohydrate intake, thereby helping to manage blood sugar levels.
C. Regular foot monitoring is crucial for individuals with diabetes, as they are at increased risk of developing foot problems due to nerve damage (neuropathy) and poor circulation.
D. Maintaining blood glucose levels within the target range (80-130 mg/dL before meals) helps reduce the risk of both short-term complications (e.g., hypoglycemia) and long-term complications (e.g., neuropathy, retinopathy) associated with diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Chocolate contains caffeine and cocoa, both of which can relax the lower esophageal sphincter (LES) and increase the risk of acid reflux. Additionally, chocolate is high in fat, which can further exacerbate symptoms of GERD. Therefore, chocolate is often recommended to be avoided by individuals with GERD.
B. Oatmeal is generally considered a bland and low-acid food that is unlikely to trigger symptoms of GERD. In fact, oatmeal is often recommended as part of a GERD-friendly diet due to its high fiber content, which can help absorb stomach acid and promote digestive health.
C. Apples are generally considered to be low in acid and high in fiber, making them a relatively safe fruit choice for individuals with GERD. However, some individuals may find that certain varieties of apples or apple products (such as apple juice) can exacerbate their GERD symptoms.
D. Nonfat milk is generally considered to be a low-fat and low-acid beverage that is unlikely to trigger symptoms of GERD. However, some individuals may find that consuming dairy products, including milk, can exacerbate their GERD symptoms.
Correct Answer is A
Explanation
A. Holding the breath for at least 10 seconds after inhaling the medication allows the medication to settle in the lungs and increases its effectiveness. This ensures maximum delivery of the drug to the respiratory tract.
B. The recommended time to wait between inhalations is typically around 1 to 2 minutes, not 10 minutes. Waiting too long between puffs may reduce the effectiveness of the medication and is not necessary.
C. There is no specific recommendation that the inhaler must be held with the non-dominant hand. The inhaler should be held in the hand that feels most comfortable and provides the best control, which is usually the dominant hand for most people.
D. The correct technique involves tilting the head slightly back to open the airway, making it easier for the medication to reach the lungs. Tilting the head forward could restrict the airflow and reduce the effectiveness of the inhalation.
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