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."
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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Related Questions
Correct Answer is D
Explanation
A. Urine-specific gravity provides information on the kidney's ability to concentrate urine but is not the most direct measure of renal function.
B. Blood urea nitrogen (BUN) can indicate kidney function but is influenced by factors other than kidney health, such as hydration status and protein intake.
C. Serum sodium levels are not a specific indicator of renal function and can vary based on many factors unrelated to kidney health.
D. Serum creatinine is the best indicator of renal function, as it is produced from muscle metabolism and cleared by the kidneys; elevated levels indicate decreased renal function.
Correct Answer is ["A","B","E","F"]
Explanation
A. Tachycardia is a common response to hypoglycemia due to the body's release of adrenaline.
B. Diaphoresis is also associated with hypoglycemia and results from sympathetic nervous system activation.
C. Frequent urination is a symptom of hyperglycemia, not hypoglycemia.
D. Thirst also indicates hyperglycemia, not hypoglycemia.
E. Hunger is a common sign of hypoglycemia as the body signals the need for glucose.
F. Shakiness is a symptom of hypoglycemia due to adrenaline release.
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