A nurse is providing education to a client who is suspected of having type 1 diabetes mellitus. Which of the following statements would the nurse include in client education?

"This type of diabetes means that the cells in your pancreas do not produce any insulin."

"This can be a reversible condition, so we will discuss ways to improve your health."

"Your HbA1c level of 5.7% or below indicates you have impaired glucose tolerance."

"Since you still have working beta cells, you can try a diet to lower your blood sugar."

Answer and Explanation

The Correct Answer is A

A. "This type of diabetes means that the cells in your pancreas do not produce any insulin.": Type 1 diabetes mellitus is characterized by the autoimmune destruction of beta cells in the pancreas, which results in an absolute deficiency of insulin. Patients require insulin therapy for management.

B. "This can be a reversible condition, so we will discuss ways to improve your health.": Type 1 diabetes is not reversible. It is a lifelong condition that requires continuous insulin therapy.

C. "Your HbA1c level of 5.7% or below indicates you have impaired glucose tolerance.": An HbA1c level of 5.7% or below is considered normal or indicative of well-controlled blood glucose levels, not impaired glucose tolerance. Impaired glucose tolerance is typically identified with HbA1c levels from 5.7% to 6.4%.

D. "Since you still have working beta cells, you can try a diet to lower your blood sugar.": In type 1 diabetes, the beta cells are mostly or completely non-functional, meaning dietary changes alone are insufficient. Insulin replacement is necessary.

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Correct Answer is A

Explanation

A. Bronchospasm occurs when there is inflammation, edema, and excess mucus: Bronchospasm is typically associated with inflammation, edema, and excess mucus production in the airways, which leads to narrowing of the airways and difficulty in breathing. This trio of factors contributes to the obstruction of airflow seen in asthma.

B. Inflammation is reduced due to airway diameter: Inflammation is not reduced in bronchospasm; in fact, inflammation is increased. It is the swelling and narrowing of the airways that contribute to the symptoms of asthma, not a reduction of inflammation.

C. Decreased mucus production contributes to airway constriction: In asthma, there is typically increased, not decreased, mucus production, which contributes to airway obstruction and exacerbates bronchospasm.

D. Airway obstruction occurs due to thinning mucus: Airway obstruction in asthma is due to thickened mucus, inflammation, and edema, not thinning mucus. The mucus becomes sticky and blocks the airways, making breathing difficult.

A. Regular insulin B. NPH insulin C. Insulin detemir D. Insulin glargine

Correct Answer is A

Explanation

A. Regular insulin: Regular insulin is the preferred insulin for the treatment of diabetic ketoacidosis (DKA) because it has a rapid onset of action and can be administered intravenously. This allows for quick correction of hyperglycemia and ketoacidosis.

B. NPH insulin: NPH (Neutral Protamine Hagedorn) insulin is an intermediate-acting insulin that does not act quickly enough to be effective in the acute management of DKA. It is used for basal glycemic control and not for emergencies.

C. Insulin detemir: Insulin detemir is a long-acting insulin and is not suitable for the acute treatment of DKA. It is used for maintaining basal levels of insulin over a longer period rather than for rapid glucose control.

D. Insulin glargine: Insulin glargine is also a long-acting insulin used to provide a steady level of insulin over 24 hours and is not appropriate for acute management of DKA, which requires rapid-acting insulin.

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A nurse is providing education to a client who is suspected of having type 1 diabetes mellitus. Which of the following statements would the nurse include in client education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with asthma. Which of the following happens physiologically when bronchospasm occurs?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

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