A 46-year-old woman presented to the emergency department several days ago with a respiratory infection that caused a hyperglycemic-hyperosmolar event. The client has a history of diabetes mellitus type 2, hypertension, peripheral neuropathy, vascular disease, and retinopathy. The nurse prepares to discharge the client today. After providing discharge instructions, the nurse assesses the client's understanding.
Which of the following client statements indicate a good understanding of diabetic teaching?
Select all that apply.
I will take my glyburide dose with my first bite of breakfast.
It is okay for me to walk barefooted while inside my home.
My antidiabetic medications allow me to eat whatever I desire.
l will make sure that I take my antidiabetic medications even when I am sick.
l will wash my feet, dry them thoroughly and wear clean socks every day.
Correct Answer : A,D,E
Option A indicates that the client understands the timing of glyburide administration, which is typically taken with the first bite of a meal to aid in glucose control.
Option d indicates that the client understands the importance of continuing antidiabetic medications even when they are sick. Skipping doses during illness can lead to uncontrolled blood glucose levels.
Option e indicates that the client understands the importance of foot care in preventing complications related to peripheral neuropathy, such as diabetic foot ulcers.
Option b is incorrect because patients with peripheral neuropathy should not walk barefoot, as they may not feel injuries to their feet, which can lead to diabetic foot ulcers and other complications.
Option c is incorrect because antidiabetic medications do not allow patients to eat whatever they desire. Patients with diabetes need to follow a healthy diet and exercise plan to manage their blood glucose levels effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The patient received 38 U of NPH insulin at 7:00 AM, and by 1:00 PM, the insulin has been active for approximately 6 hours. The patient has missed lunch, which may lead to hypoglycemia, especially with the activity of the insulin.
Sending a glass of orange juice will provide the patient with a quick source of glucose to prevent hypoglycemia. If testing is further delayed, the nurse may request that the patient be allowed to eat lunch first or save the lunch tray for later, but immediate intervention is necessary to prevent hypoglycemia. Discontinuing the evening dose of insulin is not an appropriate action and should not be considered without consulting the healthcare provider.
Correct Answer is B
Explanation
The nurse should suggest the patient lie on the side, flexing the right leg². This position may help relieve pain and reduce tension in the abdominal muscles¹. Palpating the abdomen for rebound tenderness (a) may cause pain and should be avoided¹. Assisting the patient to cough and deep breathe (c) may be helpful for respiratory issues but not for abdominal pain¹. Encouraging the patient to sip clear, non-carbonated liquids (d) may be helpful for hydration but does not address the abdominal pain¹.
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