A 15-year-old male client was recently diagnosed with type 1 diabetes mellitus. He tells the nurse that he is having difficulty adhering to his meal plan when he is with his friends. Which nursing intervention is best for the nurse to implement?

Recommend that he avoid fast food restaurants until he is familiar with his prescribed diet.

Encourage him to find activities to do with his friends that do not involve eating.

Advise him to take his own food with him when going to fast food restaurants with his friends.

Assist him in identifying popular fast foods that are within his meal plan for diabetes.

Answer and Explanation

The Correct Answer is D

A. Recommend that he avoid fast food restaurants until he is familiar with his prescribed diet: Restricting social activities can lead to feelings of isolation and negatively affect adherence. It does not teach the adolescent practical skills for managing diabetes in real-life situations.

B. Encourage him to find activities to do with his friends that do not involve eating: While alternative activities are beneficial, avoiding meals with friends is not realistic for a teen. The goal is to promote self-management skills, not complete avoidance of social situations.

C. Advise him to take his own food with him when going to fast food restaurants with his friends: Bringing food may help in some situations, but it does not encourage the adolescent to make informed choices or learn how to navigate typical social eating environments.

D. Assist him in identifying popular fast foods that are within his meal plan for diabetes: Teaching the teen how to select appropriate options from common fast food menus empowers him to adhere to his diet while maintaining social interactions. This approach promotes self-management, independence, and realistic coping strategies.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

A. Nausea and vomiting: Gastrointestinal symptoms such as nausea, vomiting, and anorexia are common early signs of digoxin toxicity and should be closely monitored.

B. Fatigue and weakness: Generalized fatigue and muscle weakness can result from digoxin toxicity due to its effects on cardiac output and electrolyte imbalances, indicating early toxicity.

C. Bradycardia: Digoxin increases vagal tone, which can lead to bradycardia. A heart rate below 60 bpm is a key warning sign of digoxin toxicity.

D. Visual disturbances (e.g., yellow-green halos): Visual changes, including blurred vision, yellow-green halos, or altered color perception, are classic manifestations of digoxin toxicity and require prompt recognition.

E. Hypertension: Hypertension is not typically associated with digoxin toxicity; digoxin more commonly causes bradyarrhythmias and hypotension rather than elevated blood pressure.

A. Hydrocortisone. B. Potassium chloride. C. Broad spectrum antibiotic. D. Regular insulin.

Correct Answer is A

Explanation

A. Hydrocortisone: The client is experiencing an Addisonian (adrenal) crisis, evidenced by weakness, confusion, dehydration, hyponatremia, hyperkalemia, and hypoglycemia. Intravenous hydrocortisone provides the deficient cortisol necessary to stabilize electrolytes, improve vascular tone, and support glucose regulation.

B. Potassium chloride: Although the client’s potassium is elevated, administering potassium would worsen hyperkalemia. The priority is treating the underlying adrenal insufficiency rather than directly correcting potassium at this stage.

C. Broad spectrum antibiotic: There is no evidence of a bacterial infection causing the crisis; the client’s acute illness is a viral infection, and antibiotics would not address adrenal insufficiency. Antibiotics may be considered only if a bacterial infection is confirmed.

D. Regular insulin: Insulin lowers blood glucose and potassium, but this client is hypoglycemic and hyperkalemic due to adrenal crisis. Administering insulin would exacerbate hypoglycemia and is contraindicated in this scenario.

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A 15-year-old male client was recently diagnosed with type 1 diabetes mellitus. He tells the nurse that he is having difficulty adhering to his meal plan when he is with his friends. Which nursing intervention is best for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Which of the following findings should the nurse recognize as manifestations of digoxin toxicity? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

Correct Answer is A

Explanation

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