A nurse is teaching a client diagnosed with type 1 diabetes mellitus about foot care. Which of the following statements by the client about foot care is correct?

"I’ll wear sandals in warm weather."

"I'll put lotion between my toes after drying my feet.

"I'll check my feet every day for sores and bruises."

"I’ll soak my feet in cool water every night before I go to bed."

Answer and Explanation

The Correct Answer is C

A. "I'll wear sandals in warm weather":

While wearing sandals in warm weather can be comfortable, it may not provide adequate protection for the feet, especially for individuals with diabetes. Closed, protective shoes are generally recommended to prevent injuries.

B. "I'll put lotion between my toes after drying my feet":

Applying lotion between the toes can create a moist environment, which may increase the risk of fungal infections. It is generally advisable to keep the skin between the toes dry to prevent infections.

C. "I'll check my feet every day for sores and bruises":

This statement is correct. Regular foot checks are crucial for individuals with diabetes to identify any signs of sores, bruises, or other abnormalities early. Early detection and prompt treatment can help prevent complications.

D. "I’ll soak my feet in cool water every night before I go to bed":

Soaking the feet in cool water is generally not recommended, as it can lead to maceration of the skin and increase the risk of fungal infections. Daily inspection and proper hygiene are more important aspects of foot care.

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Correct Answer is B

Explanation

A. "A weight reduction program will make me hypoglycemic.”

This statement suggests a misunderstanding. Weight reduction programs, when done appropriately, can contribute to better blood sugar control, but they should not necessarily lead to hypoglycemia if managed properly.

B. "I give the insulin injections in my abdominal area.”

This is the correct statement. Injecting insulin into the abdominal area is a common and recommended practice as it allows for consistent absorption and is a well-vascularized area.

C. “Insulin allows me to eat ice cream at bedtime.”

This statement suggests a misunderstanding. While insulin helps manage blood sugar levels, it should not be seen as a means to consume unlimited quantities of high-sugar foods, as a balanced diet is still crucial.

D. "I am to take my blood sugar reading after meals.”

This statement is partially correct. Blood sugar readings are often recommended before and after meals to assess the impact of food intake on blood glucose levels.

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

Correct Answer is A

Explanation

A. Regular insulin:

Regular insulin, also known as short-acting insulin, is commonly used in the initial management of diabetic ketoacidosis. It has a relatively rapid onset of action, making it suitable for addressing the acute and severe nature of DKA.

B. Insulin detemir:

Insulin detemir is a long-acting insulin analog. It is not the preferred choice for addressing the acute insulin needs in DKA; instead, it is used for basal insulin requirements in the maintenance phase of diabetes management.

C. Insulin glargine:

Insulin glargine is a long-acting insulin analog used for basal insulin coverage. Like insulin detemir, it is not the first choice for addressing the acute insulin needs in the initial treatment of DKA.

D. NPH insulin:

NPH (Neutral Protamine Hagedorn) insulin is an intermediate-acting insulin. While it has a role in diabetes management, it is not the preferred choice for the initial treatment of DKA. NPH insulin has a slower onset and longer duration compared to regular insulin.

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A nurse is teaching a client diagnosed with type 1 diabetes mellitus about foot care. Which of the following statements by the client about foot care is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about disease management for a client who has type 1 diabetes mellitus. Which statement made by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has a history of diabetes mellitus and is being admitted to the unit confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?

Correct Answer is A

Explanation

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