A nurse is teaching about self-monitoring 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 check my urine once a day for ketones."

"I will check my blood glucose every 4 hours when I am sick."

"I will notify my provider if pre-meal glucose is 120 mg/dL."

"I will check blood glucose every 5 minutes when lightheaded."

Answer and Explanation

The Correct Answer is B

A. Checking urine for ketones is generally recommended when blood glucose is consistently high, but once daily may not be sufficient during illness or hyperglycemic episodes.
B. Monitoring blood glucose every 4 hours during illness helps manage potential fluctuations and prevent diabetic ketoacidosis, making this statement correct.
C. A pre-meal blood glucose of 120 mg/dL is within the acceptable range, so notifying the provider is unnecessary.
D. Checking blood glucose every 5 minutes is excessive and not standard practice, even if feeling lightheaded.

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Correct Answer is A

Explanation

A. Type 2 diabetes typically develops due to insulin resistance in the body’s cells and a decrease in insulin secretion by the pancreas. This is an accurate and informative response.
B. Kidney issues related to water reabsorption are not the cause of Type 2 diabetes. This response is inaccurate.
C. Infections in the pancreas are not a primary cause of Type 2 diabetes; rather, they are more likely associated with pancreatitis or other conditions.
D. Type 1 diabetes involves autoimmune destruction of insulin-producing cells, but Type 2 diabetes does not typically involve this autoimmune process.

A. Bright yellow B. Dark amber C. Bright red D. Pale pink

Correct Answer is D

Explanation

A. Bright yellow urine is typical of well-hydrated individuals but is not expected after a prostatectomy.
B. Dark amber urine may indicate dehydration or concentrated urine, which is not the expected outcome post-surgery.
C. Bright red urine can indicate significant bleeding, which should be reported; however, some blood may be expected immediately after surgery.
D. Pale pink urine is a common and expected variation after a transurethral prostatectomy, indicating minor bleeding or irritation without significant risk.

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A nurse is teaching about self-monitoring to a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has Type 2 diabetes mellitus asks the nurse, "why did I develop diabetes?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?

Correct Answer is D

Explanation

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