The nurse is evaluating the knowledge of a patient recently diagnosed with type 1 DM. Which statement by the patient indicates a need for additional information?

I will learn to carefully check my blood glucose since I am prone to ketoacidosis.

My pancreas may have started to attack itself after a childhood viral infection.

may be genetically prone since diabetes goes back for several generations.

I know that I am obese and can reduce my need for insulin with weight loss.

Answer and Explanation

The Correct Answer is D

D. Obesity and weight loss are more directly linked to type 2 diabetes but they are not primary factors in the management of type 1 diabetes. Type 1 diabetes is characterized by the autoimmune destruction of beta cells, leading to an absolute deficiency of insulin. Weight loss can improve insulin sensitivity, which might be relevant for type 2 diabetes or insulin resistance, but type 1 diabetes patients will always require exogenous insulin regardless of weight changes.
A. Patients with type 1 diabetes are at risk for diabetic ketoacidosis (DKA), a serious condition caused by high blood glucose levels and ketone buildup due to insufficient insulin. Monitoring blood glucose levels is crucial in preventing DKA.
B. Type 1 diabetes is an autoimmune disease where the immune system attacks the insulin- producing beta cells in the pancreas. A viral infection can sometimes trigger this autoimmune response in genetically susceptible individuals.
C. There is a genetic component to type 1 diabetes, and having a family history of the disease can increase the risk, although environmental factors also play a role.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Chocolate contains caffeine and cocoa, both of which can relax the lower esophageal sphincter (LES) and increase the risk of acid reflux. Additionally, chocolate is high in fat, which can further exacerbate symptoms of GERD. Therefore, chocolate is often recommended to be avoided by individuals with GERD.
B. Oatmeal is generally considered a bland and low-acid food that is unlikely to trigger symptoms of GERD. In fact, oatmeal is often recommended as part of a GERD-friendly diet due to its high fiber content, which can help absorb stomach acid and promote digestive health.
C. Apples are generally considered to be low in acid and high in fiber, making them a relatively safe fruit choice for individuals with GERD. However, some individuals may find that certain varieties of apples or apple products (such as apple juice) can exacerbate their GERD symptoms.
D. Nonfat milk is generally considered to be a low-fat and low-acid beverage that is unlikely to trigger symptoms of GERD. However, some individuals may find that consuming dairy products, including milk, can exacerbate their GERD symptoms.

A. “I must take insulin pills for the rest of my life." B. “I will count my carbohydrates at each meal and snack." C. “I will monitor my feet carefully every day." D. "I will try to keep my blood glucose between 80 and 130 mg/dL before meals."

Correct Answer is A

Explanation

A. Insulin is typically administered via injections or an insulin pump, not in pill form. Individuals with type 1 diabetes require exogenous insulin to manage their blood sugar levels because their pancreas does not produce insulin.
B. Carbohydrate counting is a fundamental skill for individuals with diabetes, as it allows them to adjust their insulin dosage to match their carbohydrate intake, thereby helping to manage blood sugar levels.
C. Regular foot monitoring is crucial for individuals with diabetes, as they are at increased risk of developing foot problems due to nerve damage (neuropathy) and poor circulation.
D. Maintaining blood glucose levels within the target range (80-130 mg/dL before meals) helps reduce the risk of both short-term complications (e.g., hypoglycemia) and long-term complications (e.g., neuropathy, retinopathy) associated with diabetes.

View Question and Answer

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

The nurse is evaluating the knowledge of a patient recently diagnosed with type 1 DM. Which statement by the patient indicates a need for additional information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with a client who has a new diagnosis of gastroesophageal disease (GERD). Which of the following foods should the nurse include in the list of foods the client should avoid?

Correct Answer is A

Explanation

The nurse knows a patient with type 1 diabetes needs more education when the patient makes which of the following statements?

Correct Answer is A

Explanation

A nurse is reinforcing dietary teaching with a client who has GERD. Which of the following food choices by the client indicates an understanding of the teaching?

A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?

Your client has told you that they have been experiencing intermittent upper abdominal pain about 3 hours after eating and at times will even be awaken in the middle of the night by this pain. You suspect that your client may have which type of peptic ulcer?

A newly diagnosed patient asks the nurse to explain asthma. Which of the following explanations by the nurse is correct?

43. A nurse is reinforcing teaching about use of a metered-dose inhaler (MDI) with a client who has a new diagnosis of asthma. Identify the sequence the client should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all steps.)

A nurse is reinforcing teaching about dietary recommendations for a client who has a hiatal hernia. Which of the following client statements indicate understanding of the teaching? (Select all that apply.)

What type of cells secrete insulin?