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 ["B","D"]

Explanation

A. Monitoring blood glucose levels is not directly related to managing fluid volume excess.
B. Weighing the client daily is essential for monitoring fluid retention and the effectiveness of interventions.
C. Preparing for hemodialysis is only necessary for severe fluid overload unresponsive to other treatments.
D. Restricting sodium in the diet helps prevent further fluid retention and supports management of FVE.
E. Changing IV fluids to D5W is not appropriate, as it could exacerbate fluid volume excess by increasing fluid load.

A. 10% B. 8.5% C. 6.3% D. 7.8%

Correct Answer is C

Explanation

A. An HbA1c of 10% is significantly elevated and suggests poor glycemic control.
B. An HbA1c of 8.5% is above the recommended target for most diabetic patients, indicating less than optimal control.
C. An HbA1c of 6.3% falls within the target range for well-managed diabetes, generally below 7%. This value indicates effective glucose control.
D. An HbA1c of 7.8% is slightly elevated and may require adjustments in diabetes management.

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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

The nurse documents that the client has a problem of fluid volume excess (FVE). Which intervention should the nurse include in the plan of care? Select all that apply.

Correct Answer is ["B","D"]

Explanation

A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?

Correct Answer is C

Explanation

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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?