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 D

Explanation

D. The priority focus in the acute management of hyperosmolar hyperglycemia is improving hydration status. Patients with HHS are severely dehydrated due to the osmotic diuresis caused by extremely high blood glucose levels. Rapid rehydration is critical to prevent shock, improve organ perfusion, and reduce blood glucose levels.
A. It's important to consider age-related changes in any patient but this is not the immediate priority in the acute management of hyperosmolar hyperglycemia. The primary concern is addressing the acute, life-threatening aspects of the condition.
B. Monitoring blood glucose levels is critical in managing hyperosmolar hyperglycemia. However, while it is essential to track the BG levels to guide insulin therapy and assess the response to treatment, it is not the immediate priority in terms of interventions needed to stabilize the patient initially.

C. Determining the underlying cause of hyperosmolar hyperglycemia, such as an infection or other illness, is important for comprehensive treatment. However, it is a secondary priority to stabilizing the patient’s current acute condition.

A. Consumes spicy foods 5 to 8 times weekly B. History of ibuprofen use C. Drinks green tea D. History of bulimia

Correct Answer is B

Explanation

B. Nonsteroidal anti-inflammatory drugs (NSAIDs), including ibuprofen, are known to increase the risk of peptic ulcer formation by disrupting the protective mucosal barrier of the stomach and duodenum.
Long-term or frequent use of NSAIDs can lead to mucosal damage and ulceration.
A. Consuming spicy foods frequently may irritate the lining of the stomach and increase the risk of developing peptic ulcers. However, the number of consumed meals is not specific to the risl of peptic ulcer formation.
C. Green tea consumption is generally not considered a significant risk factor for peptic ulcers. In fact, some studies suggest that compounds found in green tea may have protective effects against the development of peptic ulcers and may help reduce the risk of H. pylori infection, a common cause of ulcers.
D. Bulimia, an eating disorder characterized by binge eating followed by purging behaviors such as vomiting, is a risk factor for peptic ulcers. The repeated exposure of stomach acid to the esophagus and stomach lining due to vomiting can lead to inflammation and ulceration of the gastrointestinal tract.

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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 patient is admitted to the hospital with hyperosmolar hyperglycemia. The patient has a BG value of 987 mg/dL. Which is the priority focus while providing care?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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