The nurse is providing teaching to a client newly diagnosed with type 2 diabetes mellitus about disease management. Which response by the client indicates understanding?

Wear closed-toe shoes that are comfortable and fit well.

Obtain an A1C blood test every year to monitor glucose control.

Check blood sugar levels every four to six hours every day.

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

Answer and Explanation

The Correct Answer is A

A. Wear closed-toe shoes that are comfortable and fit well: Wearing well-fitting shoes helps prevent foot injuries and complications, which are common in people with diabetes due to neuropathy and poor circulation. Foot care is crucial for diabetes management.

B. Obtain an A1C blood test every year to monitor glucose control: The A1C test should be done at least twice a year if the client’s blood sugar is under control, or more often if adjustments are needed.

C. Check blood sugar levels every four to six hours every day: Most individuals with type 2 diabetes need to check blood sugar based on specific times like before meals or once daily, not every few hours.

D. Restrict alcoholic beverages to no more than 1 to 2 per week: Moderate alcohol intake may be allowed in some cases, but more frequent consumption can affect blood sugar. The goal is to limit intake, not restrict to a specific number per week.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Rationale:

Respirations: After administering morphine, it is crucial to monitor the client's respirations because opioids can cause respiratory depression, which may be more pronounced in elderly patients or those who are in pain and immobile.
Deep breathing techniques: The nurse should encourage deep breathing techniques. This helps improve lung expansion and reduces the risk of respiratory complications such as pneumonia and atelectasis, especially in a client with decreased mobility due to pain and injury.

Rationale for Incorrect Options:

Heart rate: While heart rate monitoring is important, it is not the primary concern immediately after morphine administration. The client's respiratory status takes precedence, especially considering the risk of opioid-induced respiratory depression.
Blood pressure: While blood pressure monitoring is essential, morphine administration primarily affects the respiratory system, not the circulatory system. The nurse should prioritize respiratory monitoring over blood pressure unless the patient exhibits signs of hypotension.
Range of motion exercises: Range of motion exercises are important for mobility and rehabilitation, but they are not a priority immediately following the trauma and morphine administration. The client should be assessed and stabilized before beginning exercises.
Joint protection techniques: Joint protection techniques are beneficial in long-term rehabilitation, but in the acute phase, the priority is to manage the fracture, pain, and prevent further complications.

A. An 82-year-old client with Alzheimer's disease and a newly fractured femur who has an indwelling urinary catheter and soft wrist restraints applied. B. A 48-year-old marathon runner with a central venous catheter who is experiencing nausea and vomiting due to electrolyte disturbance following a race. C. A 34-year-old admitted today after an emergency appendectomy who has a PIV and indwelling urinary catheter. D. A 63-year-old chain smoker admitted with chronic bronchitis who is receiving oxygen via nasal cannula and has a saline lock PIV.

Correct Answer is A

Explanation

A. The combination of cognitive impairment, physical injury, and restraints poses a high risk for complications such as infection, skin breakdown, and falls. Close monitoring and nursing interventions are critical to ensure safety, comfort, and appropriate care in this patient.

B. While this client may need some care for the electrolyte imbalance and nausea, this situation is more stable compared to the elderly client with Alzheimer's. The RN's role here would focus on managing the electrolyte disturbance and providing symptom relief.

C. Although this client is postoperative and may need some care, the RN's focus would primarily be on pain management and monitoring for infection or complications. However, the client’s condition is relatively stable compared to the elderly client with multiple risks.

D. This client is also stable and may require some ongoing monitoring for respiratory issues. However, the level of care needed is less intensive compared to a client with cognitive issues, restraints, and a recent fracture.

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The nurse is providing teaching to a client newly diagnosed with type 2 diabetes mellitus about disease management. Which response by the client indicates understanding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. The nurse monitors the client's dropdownafter administering the morphine. The nurse should include dropdownto reduce complications of the client's injury.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

The charge nurse of a critical care unit is informed at the beginning of the shift that less than the optimal number of registered nurses (RN) will be working that shift. In planning assignments, which client should receive the most care hours by a RN?

Correct Answer is A

Explanation

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