A nurse is teaching basic "survival skills" to a client newly diagnosed with type 1 diabetes. Which topic will the nurse address address?
Management of diabetic ketoacidosis
Signs and symptoms of diabetic neuropathy
Effects of surgery and pregnancy on blood sugar levels
Recognition of hypoglycemia and hyperglycemia
The Correct Answer is D
A. Management of diabetic ketoacidosis:
Diabetic ketoacidosis (DKA) is a severe complication of diabetes characterized by high blood sugar, ketones in the urine, and metabolic acidosis. While it's crucial to understand how to manage DKA, this may be considered more advanced knowledge and may not be categorized as a basic survival skill for someone newly diagnosed with type 1 diabetes.
B. Signs and symptoms of diabetic neuropathy:
Diabetic neuropathy is a long-term complication that involves damage to the nerves due to prolonged high blood sugar levels. While understanding neuropathy is important for long-term health, it may not be the first topic addressed as a basic survival skill for someone newly diagnosed.
C. Effects of surgery and pregnancy on blood sugar levels:
Understanding how surgery and pregnancy can affect blood sugar levels is important for managing diabetes in specific situations. However, this knowledge might be considered more advanced and may not be the initial focus for someone just starting to learn about diabetes self-care.
D. Recognition of hypoglycemia and hyperglycemia:
Recognizing the signs and symptoms of both low and high blood sugar is essential for immediate self-care. This includes understanding when blood sugar is too low (hypoglycemia) and requires prompt treatment, as well as recognizing the symptoms of high blood sugar (hyperglycemia) and knowing how to address them. This knowledge is fundamental for the daily management and well-being of someone with diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The need to monitor urine for the presence of albumin:
Explanation: Monitoring urine for albumin is more associated with microvascular complications, particularly diabetic nephropathy. When the kidneys are affected, albumin may leak into the urine. This is not a macrovascular complication.
B. The relationship between kidney function and blood glucose levels:
Explanation: The relationship between kidney function and blood glucose levels is important, but it is more directly related to microvascular complications, particularly diabetic nephropathy. High blood glucose levels over time can damage the small blood vessels in the kidneys.
C. The need for frequent eye examinations for clients with diabetes:
Explanation: This is related to microvascular complications, specifically diabetic retinopathy. Changes in the small blood vessels of the retina can lead to vision problems. While important, it's not directly addressing macrovascular complications.
D. The fact that clients with diabetes have an elevated risk of myocardial infarction:
Explanation: This is the correct answer. Macrovascular complications involve large blood vessels and are associated with conditions such as coronary artery disease, which increases the risk of myocardial infarction in individuals with diabetes.
Correct Answer is ["C","E"]
Explanation
A. Asthma:
Explanation: Asthma is associated with respiratory alkalosis, not respiratory acidosis. In asthma, there is often hyperventilation leading to a decrease in carbon dioxide levels.
B. Hyperventilation:
Explanation: Correct. Hyperventilation can cause respiratory alkalosis, not respiratory acidosis. It leads to a decrease in carbon dioxide levels.
C. Chronic obstructive pulmonary disease (COPD):
Explanation: Correct. Conditions like COPD can lead to respiratory acidosis. In COPD, there is impaired ventilation, leading to an accumulation of carbon dioxide.
D. Renal insufficiency:
Explanation: Renal insufficiency is not a direct cause of respiratory acidosis. Respiratory acidosis is primarily related to respiratory system dysfunction.
E. Pneumonia:
Explanation: Correct. Pneumonia can cause respiratory acidosis. In pneumonia, there may be difficulty in eliminating carbon dioxide due to impaired gas exchange.
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