A diabetes educator is teaching a patient about type 2 diabetes. The educator recognizes that the patient understands the primary treatment for type 2 diabetes when the patient states what?

"I will make sure I call the diabetes educator each time I adjust my insulin dose."

"I read that a pancreas transplant will provide a cure for my diabetes."

"I will make sure to follow the weight loss plan designed by the dietitian."

"I will take my oral anti-diabetic agents when my morning blood sugar is high."

Answer and Explanation

The Correct Answer is C

A. "I will make sure I call the diabetes educator each time I adjust my insulin dose."
This statement suggests a reliance on insulin adjustment and implies frequent contact with the diabetes educator. However, it doesn't address the primary treatment for type 2 diabetes.

B. "I read that a pancreas transplant will provide a cure for my diabetes."
This statement mentions a pancreas transplant, which is a significant and rare intervention typically reserved for severe cases of diabetes. However, it's not considered the primary treatment for type 2 diabetes.

C. "I will make sure to follow the weight loss plan designed by the dietitian."
This statement aligns with a key aspect of managing type 2 diabetes, as weight management, along with diet and exercise, is a primary approach. Lifestyle modifications, including weight loss, are often part of the primary treatment plan.

D. "I will take my oral anti-diabetic agents when my morning blood sugar is high."
This statement indicates an understanding of the importance of oral anti-diabetic agents, which are commonly used in the management of type 2 diabetes. Timing medication based on blood sugar levels is a key aspect of treatment.

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Correct Answer is D

Explanation

A. Avoid the use of moisturizing lotions.
This statement is not a priority instruction. Moisturizing lotions, especially those designed for diabetic foot care, can help prevent dry skin and complications. However, it's crucial to choose appropriate, diabetes-friendly moisturizers.

B. Examine feet weekly for redness, blisters, and abrasions.
This is an important and relevant instruction. Regular foot inspections help detect any signs of injury or infection early, preventing complications, especially for individuals with peripheral neuropathy.

C. Dry feet vigorously after each bath.
This statement is not advisable. Vigorous drying can potentially harm the skin, especially for individuals with diabetes. A gentle and thorough drying is recommended to prevent skin damage.

D. Avoid hot-water bottles and heating pads.
This is a priority instruction. Patients with peripheral neuropathy may have reduced sensation in their feet, making them more susceptible to burns. Avoiding sources of excessive heat helps prevent injuries.

A. IV administration of 50% dextrose in water B. IV bolus of 5% dextrose in 0.45% NaCI C. Administer 4 oz. clear juice D. Subcutaneous administration of 12 to 15 units of regular insulin

Correct Answer is A

Explanation

A. IV administration of 50% dextrose in water:
This is the correct answer. The client is severely hypoglycemic, and IV administration of 50% dextrose in water is the most rapid way to raise the blood glucose level in an emergency situation.

B. IV bolus of 5% dextrose in 0.45% NaCl:
While this solution contains dextrose, it is not as concentrated as 50% dextrose. In an emergency, a more concentrated solution is needed to rapidly correct severe hypoglycemia.

C. Administer 4 oz. clear juice:
Oral intake may be too slow in this critical situation. IV administration is more appropriate for rapidly raising the blood glucose level.

D. Subcutaneous administration of 12 to 15 units of regular insulin:
This would further lower the blood glucose level and is not appropriate for treating severe hypoglycemia.

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A diabetes educator is teaching a patient about type 2 diabetes. The educator recognizes that the patient understands the primary treatment for type 2 diabetes when the patient states what?

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Naxlex Comprehensive Predictor Exams

A client with type 1 diabetes mellitus and peripheral neuropathy is seeing the nurse to review foot care. What would be a priority instruction for the nurse to give the client?

Correct Answer is D

Explanation

A client has been brought to the emergency department by paramedics after being found unconscious. The client's Medic Alert bracelet indicates that the client has type 1 diabetes and the client's blood glucose is 22 mg/dL (1.2 mmol/L). The nurse should anticipate what intervention?

Correct Answer is A

Explanation

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The nurse is monitoring a client who was diagnosed with Type 1 Diabetes Mellitus and is being treated with NPH and regular insulin. Which manifestations alert the nurse to the presence of a possible hypoglycemic reaction? (SELECT ALL THAT APPLY)