Which statements by the patient with a new diagnosis of diabetes show understanding of instruction related to leading a healthy life and preventing complications? Select all that apply

"I must avoid all sweets and carbohydrates."

"I must check my feet daily."

"I will stop exercising so my blood sugar doesn't drop."

"I should have a yearly eye exam.”

"I should aim to keep my premeal blood glucose reading under 126 mg/dl.”

Answer and Explanation

Correct Answer : B,D,E

A. "I must avoid all sweets and carbohydrates": A balanced diet including carbohydrates is essential for energy. The focus should be on managing portion sizes and choosing complex carbohydrates.

B. "I must check my feet daily": Regular foot inspections help prevent complications such as ulcers and infections, which are common in diabetes.

C. "I will stop exercising so my blood sugar doesn't drop": Exercise is important for managing diabetes, but clients should monitor blood sugar levels before and after exercising and have a carbohydrate source available to prevent hypoglycemia.

D. "I should have a yearly eye exam": Annual eye exams are necessary to detect diabetic retinopathy early.

E. "I should aim to keep my premeal blood glucose reading under 126 mg/dL": This goal aligns with ADA recommendations for glycemic control in diabetes management.

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Correct Answer is C

Explanation

A. Give the client 15 to 20 g of carbohydrate: While administering a carbohydrate source is appropriate to treat hypoglycemia, the nurse should first confirm whether the client is experiencing hypoglycemia by checking their blood glucose level.

B. Notify the nurse manager: Reporting the error is important but not the priority. The client's safety takes precedence over reporting.

C. Check the client's blood glucose level: This is the priority action to determine if hypoglycemia has occurred due to the incorrect insulin dose. Immediate identification of hypoglycemia ensures timely treatment.

D. Complete an incident report: Incident reports are essential for documenting errors, but they are a secondary step after ensuring the client's safety.

A. "Levothyroxine will decrease your metabolic rate and body temperature." B. "Take levothyroxine at dinner time daily." C. "Tremors, nervousness, and insomnia can indicate that your dose is too high." D. "Take this medication until manifestations of hypothyroidism are gone and then discontinue."

Correct Answer is C

Explanation

A. "Levothyroxine will decrease your metabolic rate and body temperature.": Levothyroxine increases the metabolic rate and body temperature by correcting hypothyroidism. This statement is incorrect.

B. "Take levothyroxine at dinner time daily.": Levothyroxine is best taken on an empty stomach in the morning to optimize absorption.

C. "Tremors, nervousness, and insomnia can indicate that your dose is too high.": These symptoms are consistent with hyperthyroidism, which can result from excessive levothyroxine dosage.

D. "Take this medication until manifestations of hypothyroidism are gone and then discontinue.": Levothyroxine is usually a lifelong therapy and should not be stopped without provider guidance.

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Which statements by the patient with a new diagnosis of diabetes show understanding of instruction related to leading a healthy life and preventing complications? Select all that apply

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription for levothyroxine. Which of the following statements should the nurse make to the client?

Correct Answer is C

Explanation

A nurse in the emergency department is assisting with the care of a client who is comatose. The provider suspects ketoacidosis. Which of the following findings should the nurse expect?

A nurse is reinforcing teaching for a client who has diabetes mellitus and has a prescription for insulin detemir injections once daily. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has a hyperkalemia and is receiving insulin therapy. Which of the following should the nurse recognize as an adverse outcome?

A nursing is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?

A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicates that the client is experiencing DKA?

A 26-year-old patient is admitted to the hospital with a new diagnosis of diabetes, a blood glucose level of 680 mg/dL and ketones in the blood and urine. Which type of diabetes should the nurse suspect?

A nurse is preparing to administer a client's daily dose of NPH insulin at 0730. The nurse should expect this type of insulin to peak within which of the following timeframes after administration?

. A nurse is reinforcing teaching with a client who is scheduled for a blood test to measure her thyroid-stimulating hormone (TSH) level. Which of the following statements should the nurse give?