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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Frequent mood changes: Hyperthyroidism can cause irritability, anxiety, and mood swings due to increased metabolic activity.

B. Sensitivity to cold: Hyperthyroidism causes sensitivity to heat, not cold.

C. Constipation: Hyperthyroidism is associated with diarrhea or frequent bowel movements due to increased gastrointestinal motility.

D. Weight gain: Hyperthyroidism typically causes weight loss due to an increased metabolic rate, despite increased appetite.

A. Monitor for compression fractures of the back and neck. B. Glucocorticoids will boost immunity. C. Plan to check blood glucose levels for hypoglycemia once each year. D. Limit the intake of calcium rich foods while taking the medication.

Correct Answer is A

Explanation

A. Monitor for compression fractures of the back and neck: Long-term use of glucocorticoids increases the risk of osteoporosis, leading to compression fractures. Monitoring for these complications is critical for early intervention.

B. Glucocorticoids will boost immunity: Glucocorticoids suppress immune function, increasing susceptibility to infections. This statement is incorrect.

C. Plan to check blood glucose levels for hypoglycemia once each year: Glucocorticoids often cause hyperglycemia, not hypoglycemia, necessitating frequent monitoring, especially in individuals at risk of diabetes.

D. Limit the intake of calcium-rich foods while taking the medication: Calcium-rich foods are encouraged to mitigate the risk of glucocorticoid-induced osteoporosis, making this advice inappropriate.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client about taking high doses of oral glucocorticoids for over ten years to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has diabetes mellitus and self-administers insulin. The client reports drinking an occasional glass of wine. Which of the following is an appropriate response by the nurse?

A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?

A nurse is preparing to administer desmopressin 0.2 mg PO daily. The amount available is 0.1 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number.)

A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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 with a client who has diabetes mellitus and a new prescription for lispro and Lantus insulins. Which of the following statements by the client indicates an understanding of the teaching?

A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling lightheaded and shaky. Which of the following complications should the nurse suspect?