Click to mark whether the client statement indicates understanding or no understanding of the education given
"If my fasting blood sugar is less than 100 mg/dL (5.6 mmol/L) next time, I can go back to my usual eating habits."
"I can never eat sugar again."
"Making these changes will also help me avoid other chronic health conditions."
"If I have symptoms like increased thirst and urination, I should come in and get my blood sugar checked."
"If I make the changes we talked about, I will not get type 2 diabetes."
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Understanding;
"Making these changes will also help me avoid other chronic health conditions."
"If I have symptoms like increased thirst and urination, I should come in and get my blood sugar checked."
No understanding;
"If my fasting blood sugar is less than 100 mg/dL (5.6 mmol/L) next time, I can go back to my usual eating habits."
"I can never eat sugar again."
"If I make the changes we talked about, I will not get type 2 diabetes."
Understanding
Adherence to the DASH diet reduces the risk of diabetes mellitus as well as other conditions such as myocardial infarction, hypertension and stoke
Overt diabetes mellitus presents with polyuria and polydipsia due to osmotic diuresis- the presence of increased glucose excreted in the urine exert an osmotic pressure, drawing water into the urine and increasing its volume.
No understanding
Having a normal fasting blood glucose is a good finding. However, resumption of poor eating habits increases the risk of diabetes mellitus moving forward. Also, there are other diagnostic criteria foe diabetes mellitus apart form fasting blood glucose such as OGTT, HbA1c
It is okay for the client to consume unrefined sugar without increased risk of diabetes mellitus. Refined sugars, however, are not recommended.
Adhering to dietary changes lowers the risk of diabetes but does not eliminate it. Other factors including genetics play a role in the development of diabetes mellitus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. The client's symptoms of weakness and palpitations are suggestive of hypoglycemia, a common complication in individuals with diabetes, particularly those on glucose-lowering medications such as insulin or sulfonylureas. Excessive perspiration, also known as diaphoresis, is a classic symptom of hypoglycemia and indicates the body's response to low blood sugar levels.
A. Cold extremities can be a sign of poor peripheral circulation, which may occur in individuals with diabetes, particularly in advanced stages or in the presence of peripheral vascular disease. However, it is not as specific to the acute episode of hypoglycemia
B. Myalgia (muscle pain) in the wrists and hands is not a typical symptom of hypoglycemia.
D. Dark yellow urine may indicate dehydration, which can occur in individuals with poorly controlled diabetes or during episodes of hyperglycemia. While dehydration is a concern in diabetes management, it is not directly related to the acute episode of hypoglycemia.
Correct Answer is B
Explanation
B. Occult positive emesis refers to vomiting that occurs without the client's awareness, meaning that the vomitus may not be easily visible or readily apparent. Vomiting can lead to significant fluid loss and dehydration, which is particularly concerning in a client who has undergone a biliopancreatic diversion procedure (BDP).
A. Loose bowel movements may indicate gastrointestinal disturbances or malabsorption issues commonly seen after biliopancreatic diversion procedure (BDP). BDP involves rerouting a significant portion of the small intestine, which can affect digestion and absorption of nutrients and fluids.
C. Strong foul-smelling flatus may indicate bacterial overgrowth or malabsorption issues in the gastrointestinal tract, which can occur after BDP. While foul-smelling flatus can be uncomfortable and indicative of gastrointestinal disturbances, it may not require immediate intervention.
D. Poor night vision may suggest vitamin deficiencies, particularly deficiencies in fat-soluble vitamins such as vitamin A, which can occur after BDP due to reduced absorption of nutrients. While poor night vision should be addressed to prevent long-term complications, it may not pose an immediate threat to the client's health.
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