The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2 diabetes home management of the disease. Which action should the nurse take first?
Demonstrate how to check glucose using capillary blood glucose monitoring.
Assess the patient's perception of what it means to have diabetes.
Discuss the need for the patient to actively participate in diabetes management.
Ask the patient’s family to participate in the diabetes education program.
The Correct Answer is B
The correct action for the nurse to take first when preparing to teach a newly diagnosed 43-year-old man with type 2 diabetes home management of the disease is to assess the patient's perception of what it means to have diabetes. This will help the nurse to identify any misconceptions or fears the patient may have about the condition, and tailor the education to meet the patient's specific needs. Options A, C, and D are important components of diabetes education but can be addressed after the nurse has assessed the patient's perception of the disease.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
In acute adrenal insufficiency, also known as Addison's disease, the adrenal glands are unable to produce enough cortisol and aldosterone hormones. These hormones play an important role in regulating sodium and potassium levels in the body. Therefore, a patient with acute adrenal insufficiency may have low sodium and high potassium levels in their blood.
The goal of therapy is to replace the deficient hormones and normalize the electrolyte levels in the body. If the current therapies are effective, the nurse would expect to see an increase in the patient's serum sodium levels because of aldosterone replacement therapy. Therefore, option a is the correct answer.
Decreasing serum chloride levels and decreasing blood glucose levels are not directly related to the treatment of acute adrenal insufficiency. In fact, a patient with acute adrenal insufficiency may have low serum chloride levels and low blood glucose levels due to the lack of cortisol hormone.
Increasing serum potassium levels would be an indicator of ineffective treatment or inadequate aldosterone replacement therapy, as aldosterone helps to regulate potassium levels in the body.
Correct Answer is D
Explanation
Therefore, the correct option is d. Glyburide is a sulfonylurea medication used to treat type 2 diabetes. It works by stimulating the beta cells in the pancreas to produce and release more insulin, which helps to lower blood glucose levels.
Option A is incorrect because glyburide does not affect glucagon secretion from the pancreas. Glucagon is a hormone that raises blood glucose levels by promoting the breakdown of glycogen in the liver.
Option b is incorrect because glyburide should not be taken if the morning blood glucose level is less than 70 mg/dL, as this may increase the risk of hypoglycemia.
Option c is incorrect because glyburide does not interact with IV contrast media. However, some types of IV contrast media can cause kidney damage in patients with diabetes, and the use of glyburide should be temporarily discontinued if a patient is undergoing a procedure that involves the use of contrast media.
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