The nurse is preparing the client for discharge and discussing home medications. What home medications may affect the amount of insulin needed by the client? Select all that apply.

St. John's Wort

Corticosteroids

Ibuprofen

Oral contraceptives

Epinephrine

Answer and Explanation

Correct Answer : A,B,D,E

Choice A rationale: St. John's Wort is an herbal supplement that can interact with various medications, including insulin, and may alter blood glucose levels. It can reduce the effectiveness of insulin, leading to decreased blood glucose control. It is essential for the client to inform the healthcare provider about any use of St. John's Wort to adjust the insulin regimen accordingly.

Choice B rationale: Corticosteroids can increase blood glucose levels by promoting insulin resistance and inhibiting insulin action. Clients with diabetes may require adjustments in their insulin dosage while taking corticosteroids to prevent hyperglycemia.

Choice C rationale: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that does not typically have a direct impact on blood glucose levels in people with diabetes.

Choice D: Oral contraceptives, specifically combination hormonal contraceptives containing estrogen and progestin, can impact blood glucose levels. They may lead to insulin resistance and, in some cases, increase blood glucose levels. The healthcare provider may need to adjust the insulin dosage for better glycemic control.

Choice E rationale: Epinephrine is a hormone that may transiently increase blood glucose levels in response to stress, but it is not a home medication that the client would be taking regularly.

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Correct Answer is C

Explanation

Choice A

Low residue diet is incorrect. A low residue diet is typically recommended for individuals with gastrointestinal conditions like inflammatory bowel disease or diverticulitis. This diet limits high-fibre foods to reduce bowel movements and ease digestive stress. However, it might not be the best option for a client with stomatitis who is struggling to eat due to mouth pain.

Choice B

Mechanical soft diet is incorrect. A mechanical soft diet includes foods that are soft and easy to chew, but they aren't necessarily pureed. While this diet might be more comfortable to eat for some individuals, a client with severe stomatitis might still experience pain while chewing. A pureed diet is a step further in terms of texture modification and can be better tolerated by someone with significant mouth pain.

Choice C

Pureed regular diet is correct. Stomatitis is inflammation of the mouth and can cause pain and discomfort, making it difficult for the client to eat. In this case, a pureed regular diet would be the most suitable choice.

Choice D

High protein soft diet is incorrect. While a high protein diet is important for recovery, healing, and maintaining muscle mass, the texture of the diet is equally important for someone with stomatitis. A high protein soft diet might still involve foods that are challenging to eat due to mouth pain, and therefore, a pureed diet would be a better option in this case.

A. Soft low-residue diet. B. Pureed diet. C. Mechanical soft diet. D. Full liquid diet.

Correct Answer is C

Explanation

Choice A

Soft low-residue diet should not be recommended. This diet is often used for individuals with gastrointestinal issues and aims to reduce the bulk and frequency of bowel movements. It might not be necessary for this client's dental concerns.

Choice B

Pureed diet should not be recommended. A pureed diet involves blending foods to a smooth consistency, which is often recommended for individuals with severe difficulty swallowing or chewing. Since the client has no teeth but doesn't necessarily have difficulty swallowing, a pureed diet might be overly restrictive.

Choice C

Mechanical soft diet should not be recommended. mechanical soft diet consists of foods that are easy to chew and swallow, making it suitable for individuals with dental issues or difficulty chewing. It includes foods that are softer in texture, often cooked until they are tender and easy to manipulate with a fork or spoon. This type of diet would be beneficial for the client in question, as it accommodates his lack of teeth and ensures that he can consume a variety of foods without the need for extensive chewing.

Choice D

Full liquid diet should be recommended. A full liquid diet includes foods in liquid form, such as soups, milk, and juice. While it's easy to swallow, it might not provide the necessary variety and texture for the client's nutritional needs.

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The nurse is preparing the client for discharge and discussing home medications. What home medications may affect the amount of insulin needed by the client? Select all that apply.

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