The nurse is caring for a patient with newly diagnosed type I diabetes. What information is essential to include inpatient teaching before the patient is discharged from the hospital?
(Select all that apply)
use of a portable blood glucose monitor.
Hypoglycemia prevention, symptoms. and treatment.
Insulin administration.
Elimination of sugar from the diet.
Correct Answer : A,B,C,D
Use of a portable blood glucose monitor: The patient should be taught how to use a portable blood glucose monitor to check their blood glucose levels at home. This will help the patient monitor their blood glucose levels and adjust their insulin dose as necessary.
Hypoglycemia prevention, symptoms, and treatment: The patient should be taught about the signs and symptoms of hypoglycemia (low blood glucose levels) and how to treat it. This includes teaching the patient to consume 15-20 grams of fast-acting carbohydrates such as glucose tablets or juice when experiencing hypoglycemia.
Insulin administration: The patient should be taught how to administer insulin, including the timing of injections and rotating injection sites. The patient should also be educated about the importance of taking insulin regularly and the potential consequences of missed doses.
Diet: The patient should be educated about healthy eating habits that include monitoring carbohydrate intake, eating regular meals, and spacing carbohydrates throughout the day. The patient does not need to eliminate sugar entirely from their diet, but rather to consume it in moderation and balance it with other food groups.
Physical activity: The patient should be encouraged to engage in regular physical activity but may need to adjust their insulin dose or carbohydrate intake to accommodate for the changes in blood glucose levels that may result from physical activity. Reducing physical activity is not necessary, but rather adjusting to it properly with proper monitoring of glucose levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
The correct answers are a, c, and d. The client will need to take thyroid hormone replacement (levothyroxine) for the rest of her life since she had a total thyroidectomy. The dosage will need to be carefully monitored to ensure that it is correct, and laboratory tests will need to be done frequently to monitor thyroid hormone levels. Taking too much of the drug can cause hyperthyroidism symptoms, so it is important not to take more than prescribed. It is also important to check with a healthcare provider before taking any other medications or herbs, as they can interact with levothyroxine.
Answer b is incorrect because the client will need to take the drug for the rest of her life.
Correct Answer is B
Explanation
This is because the persistent dysuria suggests that the initial treatment was not effective, and there may be a possibility of a resistant organism. Obtaining a midstream urine specimen for culture and sensitivity testing will help identify the specific microorganism causing the infection and determine the most effective antibiotic to use. The nurse should also instruct the patient to continue to drink plenty of fluids, as this will help flush out the bacteria and relieve symptoms. The nurse may suggest the use of acetaminophen (Tylenol) to relieve discomfort, but this should not be the only action taken, as treating the underlying infection is crucial. The nurse should not tell the patient to take trimethoprim and sulfamethoxazole for an additional three days, as the initial treatment was not effective, and a different course of treatment may be required based on the results of the urine culture and sensitivity testing.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.