Which statements by the patient with a new diagnosis of diabetes show understanding of instruction related to leading a healthy life and preventing complications? Select all that apply
"I must avoid all sweets and carbohydrates."
"I must check my feet daily."
"I will stop exercising so my blood sugar doesn't drop."
"I should have a yearly eye exam.”
"I should aim to keep my premeal blood glucose reading under 126 mg/dl.”
Correct Answer : B,D,E
A. "I must avoid all sweets and carbohydrates": A balanced diet including carbohydrates is essential for energy. The focus should be on managing portion sizes and choosing complex carbohydrates.
B. "I must check my feet daily": Regular foot inspections help prevent complications such as ulcers and infections, which are common in diabetes.
C. "I will stop exercising so my blood sugar doesn't drop": Exercise is important for managing diabetes, but clients should monitor blood sugar levels before and after exercising and have a carbohydrate source available to prevent hypoglycemia.
D. "I should have a yearly eye exam": Annual eye exams are necessary to detect diabetic retinopathy early.
E. "I should aim to keep my premeal blood glucose reading under 126 mg/dL": This goal aligns with ADA recommendations for glycemic control in diabetes management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Insulin injections daily: Uncontrolled blood glucose levels, despite dietary compliance, indicate that the pancreas may not be producing adequate insulin. Daily insulin is necessary to control hyperglycemia in this situation.
B. Fluid restrictions: Fluid restrictions are not indicated unless the client has comorbidities like heart or renal failure.
C. Oral hypoglycemic medications: Oral medications are often ineffective for Type 1 diabetes or severe cases of Type 2 diabetes with marked hyperglycemia.
D. Peritoneal dialysis therapy: This is a treatment for end-stage renal disease, not uncontrolled diabetes mellitus.
Correct Answer is D
Explanation
A. Weight gain: Excessive levothyroxine leads to hyperthyroidism, which typically causes weight loss, not gain.
B. Bradycardia: Bradycardia is a symptom of hypothyroidism, not hyperthyroidism from excessive levothyroxine.
C. Decreased temperature: Low body temperature is a sign of hypothyroidism, not hyperthyroidism.
D. Tachypnea: Overdosing on levothyroxine can cause hyperthyroidism, leading to increased metabolic rate and symptoms such as tachypnea.
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