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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I will discard the current vial of insulin after six doses have been withdrawn.": Insulin vials can be used for up to 28 days when stored at room temperature, not discarded based on the number of doses withdrawn.
B. "I will return any unused vials of insulin to the pharmacy once they have been on the unit for 1 month.": Unused insulin vials should be stored properly (refrigerated for unopened vials) and do not need to be returned unless there is an error or expired stock.
C. "I can keep the current vial of insulin in use stored at room temperature.": Once opened, insulin vials can be stored at room temperature (below 86°F or 30°C) for up to 28 days to prevent degradation.
D. "I will store unopened vials of insulin in the freezer.": Freezing insulin damages its effectiveness; unopened insulin should be refrigerated but never frozen.
Correct Answer is C
Explanation
A. Palpitations: Palpitations are associated with hyperthyroidism, not hypothyroidism.
B. Diaphoresis: Excessive sweating (diaphoresis) is a symptom of hyperthyroidism.
C. Weight gain: Hypothyroidism slows the metabolic rate, leading to weight gain.
D. Protruding eyeballs: Protruding eyeballs (exophthalmos) are a sign of Graves' disease, associated with hyperthyroidism.
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