The nurse is developing a plan of care for a client with type 2 diabetes mellitus (DM). When providing teaching on lowering blood glucose levels and increasing serum high-density lipoprotein (HDL) levels, which instruction should the nurse include?

Limit calories on days unable to exercise.

Monitor blood glucose levels daily.

Regular exercise with medical approval.

Monthly appointments with the dietitian.

Answer and Explanation

The Correct Answer is C

Regular exercise is a vital component of managing type 2 diabetes. It helps to lower blood glucose levels, improve insulin sensitivity, and increase HDL (the "good" cholesterol) levels. However, it is important for the client to obtain medical approval before starting or modifying an exercise regimen. The healthcare provider can assess the client's overall health status and provide specific recommendations regarding the type, duration, and intensity of exercise suitable for the client's individual needs and any potential limitations.

Limiting calories on days unable to exercise is a valid strategy for managing weight and blood glucose levels; however, it is not specifically related to increasing HDL levels. It is important to maintain a balanced and healthy diet overall.

Monitoring blood glucose levels daily is an important self-care practice for individuals with diabetes, but it is not specifically focused on increasing HDL levels. Blood glucose monitoring helps to assess the effectiveness of diabetes management and make necessary adjustments to medication, diet, or exercise.

Monthly appointments with the dietitian can be beneficial for diabetes management, as dietary modifications play a significant role. However, the instruction regarding exercise is more directly related to increasing HDL levels, and the frequency of appointments with the dietitian may vary based on individual needs and goals.

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Correct Answer is C

Explanation

The correct answer is choice c. Inform the client that gradual tapering must be used to discontinue the medication.

Choice A rationale:

While discussing medication side effects with the healthcare provider is important, it does not address the immediate concern of discontinuing the medication safely. The nurse should provide guidance on the proper discontinuation process.

Choice B rationale:

Telling the client that side effects will most likely dissipate over time may not be accurate for all individuals and does not address the client’s desire to stop the medication.

Choice C rationale:

Informing the client that gradual tapering must be used to discontinue the medication is crucial. Abruptly stopping antidepressants can lead to withdrawal symptoms and a potential relapse of depression.

Choice D rationale:

Reminding the client that feeling better is the therapeutic effect of the medication is true, but it does not address the client’s concern about discontinuing the medication safely.

A. 0200 B. 1300 C. 1000 D. 1600 E. 1400 F. 0900 G. 0800 H. 0500 I. 1100 J. 1200

Correct Answer is ["B","C","D","E","F","G"]

Explanation

A. Incorrect- 0200: This is not a scheduled time for vital sign assessments every 4 hours.

B. Correct- 1300: This is 4 hours after the 0900 vital signs, following the every 4-hour schedule.

C. Correct 1000: This is 4 hours after the 0600 vital signs, following the every 4-hour schedule.

D. Correct 1600: This is 4 hours after the 1200 vital signs, following the every 4-hour schedule.

E. Correct 1400: This is 4 hours after the 1000 vital signs, following the every 4-hour schedule.

F. Correct 0900: This is the initial vital sign assessment upon admission to the trauma unit at 0100, and it's also 4 hours after the 0500 vital signs.
G. Correct 0800: This is 4 hours after the 0400 vital signs, following the every 4-hour schedule.

H. Incorrect 0500: This is 3 hours after the initial vital sign assessment at 0100. The scheduled assessments are every 4 hours, so the nexta one would be at 0900.
I. Correct 1100: This is 4 hours after the 0700 vital signs, following the every 4-hour schedule.

J. Correct 1200: This is 4 hours after the 0800 vital signs, following the every 4-hour schedule.

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The nurse is developing a plan of care for a client with type 2 diabetes mellitus (DM). When providing teaching on lowering blood glucose levels and increasing serum high-density lipoprotein (HDL) levels, which instruction should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Exhibits In the trauma unit, vital signs ordered every 4 hours are taken at 0400, 0800, 1200, 1600, 2000, and 2400. Select the times that the nurse should do vital signs. Select all that apply.

Correct Answer is ["B","C","D","E","F","G"]

Explanation

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