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. 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.

A. Helping the client select a low-salt diet B. Encouraging the client to drink 2 to 3 L of water daily C. Maintaining a semi-Fowler's position as often as possible D. Administering oxygen via nasal cannula at 2 L/min

Correct Answer is B

Explanation

A. Helping the client select a low-salt diet: While a low-salt diet is important for managing conditions like hypertension and heart failure, it does not directly affect the viscosity of bronchial secretions in COPD.

B. Encouraging the client to drink 2 to 3 L of water daily: Increasing fluid intake helps to thin bronchial secretions, making them easier to expectorate. Adequate hydration is essential for patients with COPD to manage mucus and reduce the risk of respiratory infections.

C. Maintaining a semi-Fowler's position as often as possible: This position can help improve lung expansion and ease breathing but does not specifically help in loosening or thinning bronchial secretions.

D. Administering oxygen via nasal cannula at 2 L/min: Oxygen therapy is important for maintaining adequate oxygenation in COPD patients but does not address the issue of tenacious secretions directly.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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