The nurse is providing teaching to a client about self-management of type 2 diabetes mellitus. Which information provided by the client indicates understanding?

Using salt, herbs, and spices will improve the flavor of foods.

Restrict alcoholic beverages to no more than 1-2 per week.

Eat a protein snack 30 minutes before any exercise workout.

Get an influenza vaccine every year as soon as available.

Answer and Explanation

The Correct Answer is D

A. While using salt, herbs, and spices may enhance the flavor of foods, it does not specifically relate to self-management of type 2 diabetes mellitus.

B. Restricting alcoholic beverages is important in diabetes management, but the frequency and quantity recommended may vary based on individual factors and should be discussed with a healthcare provider.

C. Eating a protein snack before exercise can help stabilize blood sugar levels, but it should be consumed before and after exercise, not only before, to provide sustained energy.

D. Getting an influenza vaccine every year is a crucial aspect of diabetes self- management, as people with diabetes are at increased risk of complications from influenza. This demonstrates understanding of the importance of preventive care in managing diabetes.

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Correct Answer is A

Explanation

A. Protecting the skin of the radiation portal site from sunlight exposure is crucial to prevent further damage to the irradiated area, as the skin becomes more sensitive during radiation therapy.

B. Washing the skin inside the radiation portal site should be done gently with mild soap and water, as directed by the healthcare provider, to maintain cleanliness and prevent infection. However, excessive rubbing or scrubbing should be avoided to minimize irritation.

C. The ink marks of the portal are used as reference points for accurate delivery of radiation and should not be removed until instructed by the healthcare provider or radiation therapist.

D. Moisturizing the radiation portal site can help alleviate dryness and discomfort associated with radiation therapy, but it should be done sparingly and with products recommended by the healthcare provider to avoid potential interactions or interference with the treatment.

A. Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy. B. Administer aspirin to prevent further clot formation and platelet clumping. C. Verify prescribed laboratory tests include prothrombin time and platelet count. D. Maintain elevated positioning of the dependent joints on affected side.

Correct Answer is A

Explanation

A. Starting two large bore IV catheters and reviewing inclusion criteria for IV fibrinolytic therapy is essential in the immediate management of a client with sudden, severe headache and neurological deficits suggestive of stroke. Time- sensitive interventions, such as IV fibrinolytic therapy, may be indicated if the client meets criteria for treatment.

B. Administering aspirin to prevent further clot formation and platelet clumping is contraindicated in the acute management of a suspected stroke until hemorrhagic stroke is ruled out.

C. Verifying prescribed laboratory tests include prothrombin time and platelet count is important for assessing coagulation status, but it is not the immediate intervention needed in this situation.

D. Maintaining elevated positioning of the dependent joints on the affected side is not the priority intervention in the acute management of a suspected stroke.

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The nurse is providing teaching to a client about self-management of type 2 diabetes mellitus. Which information provided by the client indicates understanding?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is A

Explanation

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