The nurse is providing teaching to a client admitted with a blood glucose level of 580 mg/dL about preventing complications related to diabetes mellitus. Which information reported by the client indicates understanding?
Keep diabetic medication on schedule as prescribed.
Limit maximum daily fat intake to 15% of total calories.
Check blood sugar levels every four to six hours every day.
Restrict alcoholic beverages to no more than 1-2 per week.
The Correct Answer is A
A. Keep diabetic medication on schedule as prescribed.
This is the correct answer because maintaining a regular schedule for diabetic medication is crucial for managing blood glucose levels and preventing complications.
B. Limit maximum daily fat intake to 15% of total calories.
While reducing fat intake can be beneficial for overall health, it is not directly related to managing acute blood glucose levels or preventing immediate complications of diabetes.
C. Check blood sugar levels every four to six hours every day.
Frequent monitoring of blood sugar levels is important, but checking every four to six hours may not be necessary for all clients, especially if they are not on insulin or if their diabetes is well-controlled. It depends on individual needs and physician recommendations.
D. Restrict alcoholic beverages to no more than 1-2 per week.
Limiting alcohol intake is good advice for overall health and diabetes management, but it is not the most critical action compared to keeping medications on schedule to prevent complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"B"}}
Explanation
1. Poor personal hygiene
- Neglect: X
Rationale: Poor personal hygiene indicates neglect, as the caregiver is not providing adequate care for the client's basic needs.
2. Over sedation
- Physical abuse: X
Rationale: Over sedation is consistent with physical abuse because it involves administering medication to subdue the client, potentially to control or silence them.
3. Bruises in various stages of healing
- Physical abuse: X
Rationale: Bruises in various stages of healing are a sign of physical abuse, indicating that the client has been physically harmed multiple times over a period.
4. Depression or withdrawn behavior
- Mistreatment: X
Rationale: Depression or withdrawn behavior can be a result of mistreatment, which includes emotional and psychological abuse, leading to social isolation and emotional distress.
5. Untreated pressure injuries
- Neglect: X
Rationale: Untreated pressure injuries are a clear sign of neglect, as the caregiver is failing to provide necessary medical care to prevent and treat these injuries.
6. Leaving an older adult in a public space
- Mistreatment:
Rationale: Abandonment, which is a form of mistreatment, involves leaving the older adult in a public space without care or supervision.
Correct Answer is B
Explanation
A. Collaborating with a science teacher to prepare a health lesson may be beneficial for health education but does not directly address secondary prevention. Secondary prevention involves early detection and intervention to prevent the progression of disease or injury.
B. Initiating a hearing and vision screening program for first graders is an example of secondary prevention. This action aims to detect any hearing or vision problems early, allowing for timely intervention and management to prevent further complications or difficulties in learning and
development.
C. Preparing a presentation on how to prevent the spread of lice may be important for promoting hygiene and preventing infestations, but it falls more under the category of health education and primary prevention rather than secondary prevention.
D. Observing a person with type 1 diabetes mellitus self-administer a dose of insulin may be related to health education or management of a chronic condition, but it does not directly address secondary prevention for school-aged children.
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