The client diagnosed with Type I diabetes calls the clinic with a blood glucose level of 285 mg/dL and symptoms of a sore throat, cough, and fever. The clinic triage nurse advises the client to:

limit intake to non-caloric containing liquids until the glucose is within normal limits.

monitor blood glucose levels every 4 hours and go to the clinic if it continues to rise.

decrease intake of carbohydrates until blood glucose level is less than 200 mg/dL

hold the morning prescribed dose of insulin.

Answer and Explanation

The Correct Answer is B

A.   While staying hydrated is essential, especially during illness, limiting intake to non-caloric liquids could lead to inadequate caloric intake and worsen the client’s condition. Instead, the client should maintain a balanced intake of fluids and carbohydrates as tolerated.
B.   This is a reasonable approach. Monitoring blood glucose levels regularly allows the client to assess how their body is responding to the illness and any adjustments in insulin. If the levels continue to rise, it is important for the client to seek medical attention to prevent complications like diabetic ketoacidosis (DKA).
C.   While it is important to manage carbohydrate intake, completely decreasing carbohydrate intake can lead to inadequate caloric consumption, which is especially risky during an illness. The body needs energy, and people with diabetes must balance carbohydrate intake with insulin administration to avoid complications.
D.   Holding insulin can lead to dangerously high blood glucose levels. Clients with Type 1 diabetes require insulin regardless of illness, and it’s crucial to adjust the insulin regimen based on current blood glucose levels and carbohydrate intake.

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Correct Answer is ["A","B","E"]

Explanation

A. Insulin glargine is a long-acting insulin that provides a steady release of insulin without a pronounced peak. This characteristic helps reduce the risk of hypoglycemia compared to shorter-acting insulins, making it an important point to educate the client on.
B. It is important for individuals with diabetes to monitor their blood glucose levels before and after exercise, as physical activity can significantly affect glucose levels. This practice helps the client avoid hypoglycemia during and after exercise, especially if they are on insulin.
C. Clients should monitor their blood glucose levels more frequently than weekly, especially if they are on insulin. Daily monitoring is typically recommended, especially if there are changes in diet, activity level, or medications. Weekly checks may not provide adequate insight into glucose control.
D. Partially correct but not a primary focus for immediate discharge teaching. While monitoring for microalbuminuria is important for long-term kidney health, it is not typically a direct action related to daily management. This would be part of routine assessments rather than immediate discharge instructions.
E. Rotating injection sites is crucial to prevent lipodystrophy and ensure consistent absorption of insulin. Educating the client on proper injection techniques, including site rotation, is essential for effective insulin management.

A. access to fresh fruits and vegetables B. living in a disadvantaged community C. having adequate health insurance D. viral infection E. autoimmune disorder

Correct Answer is ["A","B"]

Explanation

A. Limited access to fresh fruits and vegetables can contribute to poor dietary habits, which are linked to obesity and diabetes. Communities with food deserts often have higher rates of diabetes due to reduced access to nutritious food, leading to diets high in processed and unhealthy foods.
B. Living in disadvantaged communities is associated with increased diabetes prevalence and complications. Factors such as lower socioeconomic status, limited access to healthcare, poor health education, and environmental stressors can exacerbate health issues, including diabetes.
C. Having adequate health insurance is generally correlated with better health outcomes, including access to preventive care, regular monitoring, and treatment for diabetes. It does not contribute to increased prevalence or complications; rather, it mitigates them.

D. While certain viral infections have been studied for their potential role in triggering autoimmune diabetes (such as Type 1 diabetes), viral infections themselves are not a social inequity and do not directly correlate with increased diabetes prevalence in the same way that socioeconomic factors do.
E. Autoimmune disorders can be associated with Type 1 diabetes and some cases of Type 2 diabetes; however, this option does not reflect a social inequity. Instead, autoimmune disorders are more related to individual health conditions and genetics.

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The client diagnosed with Type I diabetes calls the clinic with a blood glucose level of 285 mg/dL and symptoms of a sore throat, cough, and fever. The clinic triage nurse advises the client to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discharging a client who was just prescribed insulin glargine daily at 2100. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","E"]

Explanation

A nurse is aware that which of the following social inequities are correlated with increased diabetes prevalence & more severe complications of diabetes? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B"]

Explanation

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