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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Sucralfate works by forming a protective barrier over the ulcer site. It adheres to the ulcer, shielding it from the harmful effects of gastric acid, pepsin, and bile salts. This protection allows the ulcer to heal by preventing further irritation and damage.
B. Medications that prevent gastric acid secretion are typically proton pump inhibitors (PPIs) or H2 receptor antagonists. Sucralfate does not reduce or inhibit the production of gastric acid; instead, it protects the ulcer from the acid already present.
C. Antacids are the type of medication that neutralize gastric acid. Sucralfate does not neutralize acid; it acts locally at the ulcer site to create a protective coating.
D. Antibiotics are used to kill Helicobacter pylori, the bacteria often responsible for causing peptic ulcers. Sucralfate does not have antibacterial properties and does not target or eliminate bacteria.

A. "If I feel like my blood sugar is high, I need to drink an orange juice." B. "should avoid exercise when possible." C. "I should check my blood sugar 3 times daily like the doctor said." D. "I should eat a diet high in carbohydrates."

Correct Answer is C

Explanation

C. Monitoring blood sugar levels regularly, as recommended by the doctor, is crucial for managing type 2 diabetes effectively. It helps patients track their glucose levels, identify patterns, and make informed decisions about medication, diet, and lifestyle choices to maintain optimal blood sugar control.
A. Drinking orange juice to treat high blood sugar is not recommended because it can cause a rapid increase in blood sugar levels due to its high sugar content. Instead, patients should focus on consuming foods or beverages with lower glycemic index values and more stable glucose responses.
B. Regular physical activity is an essential component of diabetes management as it helps improve insulin sensitivity, lower blood sugar levels, control weight, and reduce the risk of complications. Patients with diabetes are encouraged to engage in regular exercise as part of their overall treatment plan.
D. Eating a diet high in carbohydrates can lead to spikes in blood sugar levels, which can be detrimental for individuals with type 2 diabetes. Instead, patients are encouraged to follow a balanced diet that includes a variety of nutrient-rich foods, with a focus on whole grains, lean proteins, healthy fats, fruits, and vegetables, while moderating carbohydrate intake.

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The nurse knows a patient with type 1 diabetes needs more education when the patient makes which of the following statements?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching for a client who has a duodenal ulcer and a new prescription for sucralfate. The client asks the nurse how sucralfate works. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

The LPN/LVN is providing teaching for a patient with type 2 diabetes. Which statement indicates an understanding by the patient?

Correct Answer is C

Explanation

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