The nurse should instruct clients with diabetes about "sick day management" of their disease by emphasizing which action?

Use sliding scale insulin to manage hypoglycemia.

Continue taking the scheduled insulin or oral hypoglycemic agent.

Increase intake of carbohydrates for the duration of the illness.

Report blood glucose lower than 100 mg/dL to the health care provider.

Answer and Explanation

The Correct Answer is B

A. Use sliding scale insulin to manage hypoglycemia: Sliding scale insulin is used to manage hyperglycemia, not hypoglycemia. Sick day management focuses on maintaining stable blood glucose levels, not using sliding scale insulin for hypoglycemia.

B. Continue taking the scheduled insulin or oral hypoglycemic agent: During illness, it is essential for clients with diabetes to continue their medication as prescribed. This helps prevent both hyperglycemia and ketosis, which can occur due to illness-induced stress.

C. Increase intake of carbohydrates for the duration of the illness: It is not necessary to increase carbohydrate intake unless the client is unable to eat enough food. It’s more important to maintain hydration and monitor blood glucose levels, adjusting insulin doses as needed.

D. Report blood glucose lower than 100 mg/dL to the health care provider: Blood glucose levels below 100 mg/dL are generally considered within normal range. During illness, clients may experience higher blood glucose levels, which are more concerning.

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Correct Answer is C

Explanation

A. Increase TSH levels: Radioactive iodinetherapy works by destroying overactive thyroid tissue, which will eventually lead to a decrease in T3 and T4 levels. As a result, TSH levelsmay rise in response to reduced thyroid function. However, increasing TSH levels is not the direct therapeutic effectof the iodine itself.

B. Prevent thyroid cancer: Radioactive iodinetherapy is used to treat hyperthyroidism, not to prevent thyroid cancer. It is not a preventive treatment for cancer, but rather a way to manage an overactive thyroid.

C. Destroy overactive thyroid tissue: Radioactive iodine (I-131)is used to destroy overactive thyroid tissuein Graves' disease, which helps to reduce the production of thyroid hormones. Over time, the thyroid tissue absorbs the iodine, leading to reduced thyroid function.

D. Stimulate thyroid hormone production: Radioactive iodineworks to destroy thyroid tissueand decreasethyroid hormone production, not to stimulateit. The goal is to reduce the excessive production of T3 and T4.

A. diabetic retinopathy B. kidney failure C. undetected foot injury D. atherosclerosis

Correct Answer is C

Explanation

A. Diabetic retinopathy: Diabetic retinopathy is a complication of diabetesthat affects the eyes, specifically the retina and can lead to vision loss. It is not directly associated with diabetic neuropathy, which affects the nerves.

B. Kidney failure: Kidney failure can result from diabetic nephropathy, a complication of diabetes that affects the kidneys, but it is not the primary concern of diabetic neuropathy. Diabetic neuropathy primarily affects the nerves, especially in the extremities.

C. Undetected foot injury: Diabetic neuropathycan cause numbnessand reduced sensationin the feet, making it difficult for the patient to feel foot injuries. This can lead to undetected foot injuries, which can become infected and lead to serious complications like ulcers or even amputation.

D. Atherosclerosis: Atherosclerosis (plaque buildup in the arteries) can be a complication of diabetesand contribute to cardiovascular disease, but it is not a direct result of diabetic neuropathy. Neuropathy primarily affects the nerves, not the blood vessels.

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The nurse should instruct clients with diabetes about "sick day management" of their disease by emphasizing which action?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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