A nurse is providing teaching to a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
"I will have ketones in my urine if my blood glucose is maintained at 190 milligrams per deciliter."
"I will keep my blood glucose levels between 200 and 212 milligrams per deciliter."
"I will keep my HbA1c at five percent."
"Albumin in my urine is an indication of normal kidney function."
The Correct Answer is A
In type 1 diabetes mellitus, when blood glucose levels are consistently high, the body may start breaking down fat for energy, leading to the production of ketones. Ketones can be detected in urine as a result. A blood glucose level of 190 milligrams per deciliter is elevated and can potentially trigger the production of ketones. Monitoring urine for ketones can be an important indicator of diabetes management and helps identify potential complications.
The other statements by the client indicate a lack of understanding or potential misconceptions:
● "I will keep my blood glucose levels between 200 and 212 milligrams per deciliter": This statement suggests a target range that is higher than the recommended target blood glucose levels for individuals with diabetes. Generally, the target range for blood glucose levels in individuals with diabetes is lower, typically between 80-130 mg/dL before meals and below 180 mg/dL after meals.
● "Albumin in my urine is an indication of normal kidney function": This statement is incorrect. The presence of albumin in the urine, called albuminuria, is an indication of kidney damage or dysfunction. It is a common sign of kidney disease, including diabetic nephropathy, which is a complication of diabetes affecting the kidneys.
● "I will keep my HbA1c at five percent": While maintaining a lower HbA1c level is generally desirable for individuals with diabetes, a target of five percent is too low. HbA1c is a measure of average blood glucose levels over the past two to three months. The American Diabetes Association (ADA) recommends an HbA1c target of less than 7 percent for most adults with diabetes, although individualized targets may vary based on factors such as age and other health conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
When educating the parent about the importance of maintaining water intake to prevent dehydration, recommending foods with high water content can be helpful. Among the options given, broccoli has the highest percentage of water content.
Here's the approximate percentage of water content in each food:
● Cheddar cheese: Cheddar cheese has a low water content, approximately 36%.
● Whole-wheat bread: Whole-wheat bread contains a moderate amount of water, usually around 35-40%.
● Almonds: Almonds have a relatively low water content, approximately 4-6%.
● Broccoli: Broccoli is a vegetable with a high water content, usually around 90-91%.
WATER-RICH FOODS
Correct Answer is A
Explanation
Bananas: Bananas are a suitable choice for a client taking digoxin and furosemide. Digoxin is a medication commonly prescribed for heart failure and certain heart rhythm disorders, and maintaining adequate potassium levels is important while taking this medication. Bananas are a good source of potassium and can help prevent or correct low potassium levels (hypokalemia), which can be a potential side effect of both digoxin and furosemide.
Green beans: Green beans can be included in the client's diet when taking digoxin and furosemide. While they are a healthy vegetable choice, they do not have a direct impact on the potassium levels affected by these medications.
Blueberries: Blueberries are a nutritious fruit choice, but they do not have a specific relevance to the client's medication regimen of digoxin and furosemide. They can be part of a balanced diet but are not specifically recommended or contraindicated in this context.
Cucumbers: Cucumbers are a refreshing vegetable choice, but they do not have a direct impact on the potassium levels affected by digoxin and furosemide. While maintaining hydration is important, other foods would be more relevant for addressing potassium needs.
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