A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. Which of the following information should the nurse plan to include in the teaching? (Select all that apply.)

Sustain hyperglycemia to reduce deterioration of nerve.

Maintain optimal blood pressure to prevent kidney damage.

Reduce cholesterol and saturated fat intake.

Enroll in a smoking cessation program.

Increase physical activity.

Answer and Explanation

Correct Answer : B,C,D,E

A. Incorrect. Sustaining hyperglycemia is not a recommended approach. In fact, it is crucial to maintain blood glucose levels within a target range to prevent complications associated with diabetes.

B. Correct. Maintaining optimal blood pressure is important for preventing kidney damage, which is a common complication of diabetes. High blood pressure can exacerbate kidney problems in individuals with diabetes.

C. Correct. Reducing cholesterol and saturated fat intake is important for managing cardiovascular risk factors associated with diabetes. Elevated cholesterol levels are a risk factor for heart disease, which is more prevalent in individuals with diabetes.

D. Correct. Enrolling in a smoking cessation program is essential. Smoking increases the risk of cardiovascular disease, which is already elevated in individuals with diabetes. Quitting smoking is a crucial step in reducing this risk.

E. Correct. Increasing physical activity is an important component of diabetes management. Regular exercise helps improve insulin sensitivity, maintain a healthy weight, and reduce the risk of cardiovascular complications.

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Correct Answer is B

Explanation

A. Semi-Fowler's with neck extended: Keeping the neck extended can put strain on the surgical incision site, increasing the risk of complications. It's important to avoid excessive neck movement.

B. Semi-Fowler's with neck in a neutral position: This position is optimal for clients post-thyroidectomy. It helps reduce swelling and pressure on the surgical site while maintaining the neck in a neutral and supported position.

C. High Fowler's with neck extended: A high Fowler's position with the neck extended may increase the risk of strain on the surgical incision and should be avoided.

D. High Fowler's with the neck in a neutral position: While a high Fowler's position can be comfortable for the client, it's important to ensure that the neck is in a neutral position to minimize strain on the surgical incision.

A. Place the head of the client's bed in the flat position. B. Instruct the client to deep breathe every 4 hr. C. Hyperextend the client's neck. D. Check the client's voice every 2 hr.

Correct Answer is D

Explanation

- Choice A Rationale: Placing the head of the bed in the flat position is not recommended as it can increase the risk of airway obstruction and reduce venous drainage from the head, which is especially critical after thyroid surgery.
- Choice B Rationale: While deep breathing is important postoperatively, it is not specific to thyroidectomy care and should be done more frequently than every 4 hours to ensure adequate ventilation and prevent atelectasis.
- Choice C Rationale: Hyperextending the client's neck can be harmful post-thyroidectomy as it may put stress on the surgical site, potentially leading to dehiscence or damage to the area.
- Choice D Rationale: Checking the client's voice every 2 hours is essential after a thyroidectomy because vocal cord paralysis can be an indicator of recurrent laryngeal nerve damage, which is a potential complication of the surgery. Monitoring the voice allows for early detection and intervention.

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A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. Which of the following information should the nurse plan to include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 8 hr postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client?

Correct Answer is B

Explanation

A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan?

Correct Answer is D

Explanation

The client with type 1 diabetes mellitus is prescribed to take NPH (Humulin N) insulin at 5 PM each day. The client should be instructed that the greatest risk of hypoglycemia will occur about what time?

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A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. Which of the following information should the nurse plan to include in the teaching? (Select all that apply.)

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