Exhibits
Review H and P and laboratory results. What item(s) should be included in the treatment regimen for this client? Select all that apply.
Exercise planning
Oral antidiabetic
Short acting insulin
Extra carbohydrates
Nutrition education
Weight reduction treatment
Long acting insulin
Correct Answer : A,E,F
A. Exercise planning:
Exercise is a cornerstone of diabetes management and can help reduce cardiovascular risk factors.
Regular activity can improve cholesterol levels, particularly by increasing HDL (good cholesterol) and potentially lowering LDL (bad cholesterol).
It can also aid in weight management, which is particularly important for this client with a BMI of 28 kg/m^2.
B. Oral antidiabetic:
While oral antidiabetics are a common treatment, the client's laboratory results do not indicate a current diagnosis of diabetes, thus it may not be necessary at this stage.
C. Short acting insulin:
Short acting insulin is typically used for managing blood sugar levels in individuals with diagnosed diabetes, particularly type 1 or advanced type 2 diabetes.
There is no indication from the client's history or lab results that he requires insulin therapy at this time.
D. Extra carbohydrates:
Adding extra carbohydrates without monitoring blood glucose levels could be detrimental, especially in individuals at risk of developing diabetes.
Carbohydrates need to be carefully balanced in a diabetic diet, and the client has not been diagnosed with diabetes.
E. Nutrition education:
Education on nutrition can help the client make informed food choices to manage both blood sugar and cholesterol levels.
It can also provide guidance on portion control, which can contribute to weight management.
F. Weight reduction treatment:
Given the client's overweight status, a weight reduction plan could help lower the risk of developing diabetes.
Weight loss can also have a positive impact on cholesterol levels and overall metabolic health.
G Long acting insulin:
Long acting insulin is used to manage blood sugar levels throughout the day and is typically prescribed for individuals with diagnosed diabetes.
As with short acting insulin, there is no current indication for insulin therapy for this client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Providing lab results to the parent without the client's consent violates the client’s right to privacy under HIPAA (Health Insurance Portability and Accountability Act).
B. While the healthcare provider may discuss results, the nurse must first ensure the client has given consent for the parent to receive medical information.
C. Since the client is an adult (22 years old), their medical information is confidential. The nurse can only share information with the parent if the client provides explicit consent.
D. This response is inappropriate and dismissive, potentially damaging the nurse-client relationship. A professional and respectful explanation should be given.
Correct Answer is C
Explanation
A. Clients who incurred disease complications promptly received rehabilitation: This outcome suggests that the focus is on secondary prevention rather than primary prevention.
B. More than half of at-risk clients were diagnosed early in their disease process: While early diagnosis is important, it is not a direct measure of the effectiveness of a primary prevention program.
C. Average client scores improved on specific risk factor knowledge tests: This outcome indicates that clients are better informed about risk factors for sexually transmitted diseases, suggesting that the primary prevention program has been effective in increasing awareness and knowledge.
D. New screening protocols were developed, validated, and implemented: While developing new screening protocols may be beneficial, it does not directly measure the effectiveness of the
primary prevention program.
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