A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following?

Draws up regular insulin before NPH when demonstrating injection technique

Says that he will see a primary care provider to treat corns on his feet

States that he will treat hypoglycemic reactions with 15 g of carbohydrates

Lists sweating, shaking, and palpitations as symptoms of hyperglycemia

Answer and Explanation

The Correct Answer is D

The nurse should recognize that the client needs a referral for diabetic education when the client lists sweating, shaking, and palpitations as symptoms of hyperglycemia. These symptoms are actually associated with hypoglycemia, not hyperglycemia. Hyperglycemia is characterized by symptoms such as increased thirst, frequent urination, and fatigue.

Option a is incorrect because drawing up regular insulin before NPH when demonstrating injection technique is the correct procedure.

Option b is incorrect because seeing a primary care provider to treat corns on the feet is an appropriate action for a client with diabetes.

Option c is incorrect because treating hypoglycemic reactions with 15 g of carbohydrates is the recommended treatment.

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Correct Answer is C

Explanation

The nurse should apply a heat pack 5 to 10 minutes prior to the procedure when planning to obtain blood from a newborn via a heel stick. This helps to increase blood ﬂow to the area and makes it easier to obtain the specimen.

a) Puncturing the heel to a depth of 4 mm is too deep and can cause injury to the newborn. The recommended depth for a heel stick is 2.4 mm or less.

b) Withholding feeding prior to collecting the specimen is not necessary.

d) Elevating the newborn's foot for 15 minutes following the procedure is not necessary.

A. Provide the client with 1 week's supply of insulin syringes B. Arrange for a home health nurse to visit the client daily C. Notify the family of the client's health status D. Refer the client to a diabetic support group.

Correct Answer is B

No explanation

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A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to obtain blood from a newborn via a heel stick. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assisting with developing a discharge plan for a client who has a new diagnosis of diabetes mellitus. The client is independent and lives alone. Which of the following interventions should the nurse plan to include?

Correct Answer is B

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