A diabetes nurse educator is discussing "sick day rules" with a client newly diagnosed with diabetes mellitus type 1. Which statement by the client indicates a need for further teaching?
"I will consult with my healthcare provider before taking over-the-counter medications."
"I will not take my insulin on the days when I am sick, but I will certainly check my blood sugar every 2 hours."
"I will call the doctor if my illness lasts longer than 2 days."
"I will call the doctor if my blood sugar is over 250 mg/dL or if I have protein in my urine."
The Correct Answer is B
A. Consulting with a healthcare provider before taking over-the-counter medications is appropriate, as some medications can affect blood glucose levels or interact with diabetes medications.
B. It is crucial for clients with diabetes to continue taking insulin during illness, even if they are unable to eat. Insulin needs may increase due to stress or infection, and not taking insulin could lead to hyperglycemia or diabetic ketoacidosis. Checking blood sugar every 2 hours is correct, but insulin should not be omitted.
C. Calling the doctor if the illness lasts longer than 2 days is a good practice, as prolonged illness can affect diabetes management and may require medical intervention.
D. Calling the doctor if blood sugar is over 250 mg/dL or if there is protein in the urine is appropriate, as these conditions can indicate complications that need medical attention.
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Related Questions
Correct Answer is C
Explanation
A. Pain-relieving medications may be appropriate for symptom management but do not address the need for diagnosis or treatment of gonorrhea exposure.
B. A basic metabolic panel (BMP) is not relevant to the diagnosis or management of gonorrhea. Testing for sexually transmitted infections (STIs) requires specific diagnostic tests.
C. Obtaining information about the client's recent sexual experiences is crucial for assessing risk factors, guiding testing, and determining appropriate treatment for gonorrhea.
D. A pelvic ultrasound is not typically the initial step in managing gonorrhea exposure. It might be used to assess complications but is not relevant for initial assessment or treatment.
Correct Answer is B
Explanation
B. In a disaster situation, prioritizing care for clients with life-threatening emergencies is crucial to ensure that those in the most critical condition receive immediate attention. This aligns with triage principles and ensures that limited resources are used effectively.
A. While addressing ADLs is important, it is secondary to addressing life-threatening emergencies in a disaster scenario.
C. Discharging stable clients can help increase bed availability but should be considered after addressing immediate life-threatening needs.
D. Stocking additional supplies is necessary but should follow after ensuring that life-threatening conditions are managed.
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