A client undergoing screening for diabetes has a fasting plasma glucose level of 118 mg/dL. What should the nurse plan to educate the client about?

Changes to achieve low HDL and high LDL levels.

Self-monitoring of blood glucose.

Maintenance of a healthy weight.

Utilizing carbohydrate counting to match insulin intake.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Changes to achieve low HDL and high LDL levels are not recommended. In fact, the opposite is desired. High levels of HDL (good cholesterol) and low levels of LDL (bad cholesterol) are beneficial for overall health and can help prevent cardiovascular complications associated with diabetes.

Choice B rationale

Self-monitoring of blood glucose is important for managing diabetes, but a fasting plasma glucose level of 118 mg/dL does not necessarily indicate the need for regular self-monitoring. This level is slightly elevated and may indicate prediabetes, but further testing would be needed for a definitive diagnosis.

Choice C rationale

Maintenance of a healthy weight is beneficial for everyone, but it’s particularly important for individuals with prediabetes or diabetes. Achieving and maintaining a healthy weight can help regulate blood glucose levels and prevent or delay the progression of prediabetes to diabetes.

Choice D rationale

Utilizing carbohydrate counting to match insulin intake is a strategy used in the management of diabetes. However, a fasting plasma glucose level of 118 mg/dL, while slightly elevated, does not necessarily indicate the need for insulin therapy or carbohydrate counting. Further testing would be needed to confirm a diagnosis of diabetes.

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Correct Answer is D

Explanation

Choice A rationale

NSAIDs such as ibuprofen are commonly used to manage pain and inflammation. However, they are not typically the first choice for treating phantom limb pain. Phantom limb pain is a complex condition that is thought to involve both peripheral and central mechanisms.

Choice B rationale

Antipyretics such as acetaminophen are used to reduce fever and relieve mild to moderate pain. However, they are not typically used as the primary treatment for phantom limb pain. This type of pain is often resistant to common analgesics, including acetaminophen.

Choice C rationale

Narcotic analgesics such as codeine can be used to manage severe pain. However, they are not typically the first choice for treating phantom limb pain due to the risk of dependency and the fact that this type of pain often does not respond well to opioids.

Choice D rationale

Anticonvulsants such as gabapentin are often used to manage neuropathic pain, including phantom limb pain. Gabapentin works by stabilizing electrical activity in the nervous system and altering the way the nerves send messages to the brain.

A. Administer morphine 2-4 mg IV prn for pain. B. Apply a figure of 8 pressure dressing starting day two post-operatively. C. Administer antibiotics as prescribed. D. Apply ice to the stump for 60-90 minutes.

Correct Answer is A

Explanation

The correct answer is Choice A. After a below-the-knee amputation (BKA), pain management is crucial. Administering morphine 2-4 mg IV prn for pain is an appropriate physician’s order to implement. Pain can be severe after amputation, and effective pain management can improve patient comfort, reduce anxiety, and aid in recovery. Applying a figure of 8 pressure dressing starting day two post-operatively (Choice B) is not typically done after a BKA7. The operative dressing and splint should be maintained, and the wound should be kept clean, dry, and intact. Administering antibiotics as prescribed (Choice C) is important, but it is not the first action to take. Pain management is the priority immediately after surgery. Applying ice to the stump for 60-90 minutes (Choice D) is not typically done after a BKA7. The operative dressing and splint should be maintained, and the wound should be kept clean, dry, and intact.

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A client undergoing screening for diabetes has a fasting plasma glucose level of 118 mg/dL. What should the nurse plan to educate the client about?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which prescribed medication for the client recovering from a traumatic amputation does the nurse correlate to the treatment of phantom limb pain?

Correct Answer is D

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A client with diabetes has returned from the post-anesthesia care unit (PACU) after a below-the-knee amputation (BKA) of the left leg. Which physician’s order should the nurse implement?

Correct Answer is A

Explanation

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