A client diagnosed with type 1 diabetes is prescribed prednisone for acute exacerbation of inflammatory bowel disease.Which intervention should the nurse discuss with the client?
Monitoring blood glucose levels more frequently.
Increasing sodium intake.
Stopping all other diabetes medications.
Skipping meals to prevent hyperglycemia.
The Correct Answer is A
Choice A rationale
Monitoring blood glucose levels more frequently is critical when a client with type 1 diabetes is taking prednisone, as corticosteroids can raise blood glucose levels and potentially cause hyperglycemia.
Choice B rationale
Increasing sodium intake is not recommended for clients with type 1 diabetes and is unrelated to the management of prednisone-induced hyperglycemia.
Choice C rationale
Stopping all other diabetes medications is inappropriate and can lead to uncontrolled blood glucose levels. Adjustments may be needed, but discontinuation is not advised without medical supervision.
Choice D rationale
Skipping meals to prevent hyperglycemia is not a safe practice for clients with type 1 diabetes. Maintaining a balanced diet and monitoring blood glucose levels is essential.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Stress and anxiety can contribute to gastrointestinal issues, but they are not the most likely cause of a duodenal ulcer.
Choice B rationale
Nonsteroidal anti-inflammatory drugs (NSAIDs) can cause gastrointestinal irritation and ulcers, but Helicobacter pylori infection is a more common cause.
Choice C rationale
Excessive alcohol consumption can irritate the stomach lining and contribute to ulcer formation, but Helicobacter pylori infection is more likely to be the primary cause.
Choice D rationale
Helicobacter pylori infection is the most common cause of duodenal ulcers. The bacteria damage the protective lining of the stomach and duodenum, leading to ulcer formation. .
Correct Answer is A
Explanation
Choice A rationale
A decreased white blood cell count indicates the body's response to infection is improving, showing the effectiveness of the antibiotics.
Choice B rationale
Increased chest pain and shortness of breath would suggest worsening of the condition, not improvement.
Choice C rationale
Adventitious breath sounds and increased cough are signs that pneumonia may be persisting or worsening.
Choice D rationale
Improved appetite and weight gain are positive signs but are not direct indicators of the effectiveness of antibiotic treatment.
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