"The nurse is discussing the importance of exercising to a client diagnosed with Type 2diabetes whose diabetes is well controlled with diet and exercise. Which informationshould the nurse include in the teaching about diabetes?
Weight loss- is an expected finding for a client who has uncontrolled diabetes. A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching? "I'll wear sandals in warm weather." "I'll put lotion between my toes after drying my feet."
The priority nursing diagnosis would be: 1. Deficient knowledge 2. Deficient fluid volume 3. Compromised family coping 4. Imbalanced nutrition less than body requirements 2) deficient fluid volumeAn increased blood glucose level will cause the kidneys to excrete the glucose in the urine.
The nurse should recheck the client's blood glucose level in 15 minutes. A nurse is assessing a client who has type 1 diabetes mellitus and finds the client lying in bed, sweating, and reporting feeling anxious. Which of the following complications should the nurse suspect?
He can use a hand mirror to examine areas that are difficult for him to see. A nurse is providing teaching to a client who has a diabetes mellitus about carbohydrate intake needs when exercising. Which of the following foods should the nurse include as containing a 15 g serving of carbohydrates? 1 cup milk.
The nurse should instruct the client not exercise if ketones are present in her urine because this is an indication of inadequate insulin and increases the risk for hyperglycemia. A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management.
The nurse should administer lispro insulin 15 min before a meal, because lispro insulin is rapid-acting insulin that has an onset within 15 to 30 min. The client may develop hypoglycemia quickly if they do not eat. A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus.
Manifestations of hypoglycemia include sweating, tachycardia, tremors, palpitations, hunger, and anxiety. A nurse observes mild hand tremors in a client who has diabetes mellitus. Which of the following actions should the nurse take after obtaining a glucose meter reading of 60 mg/dL? Administer 15 g of carbohydrates.
The goal for a client who has diabetes mellitus is to keep the HbA1c values at 6.5% or less.
Apply the nursing process to promote normal metabolic regulation in providing culturally competent care for individuals experiencing a metabolic imbalance resulting in diabetes mellitus. ... A nurse is teaching a client who has diabetes mellitus about the manifestations of hypoglycemia.
Clients who have diabetes have increased risk for coronary artery disease. Vasoconstriction causes further narrowing of vessels and increases blood pressure. Vasoconstriction increases risk for myocardial infarction and stroke. Maintain optimal blood pressure to prevent kidney damage is correct.
A CT scan of a 68-yr-old male patient's head reveals that he has experienced a hemorrhagic stroke. What is the priority nursing intervention in the emergency department?
Explain that the aspirin is ordered to decrease stroke risk. A patient in the clinic reports a recent episode of dysphasia and left-sided weakness at home that resolved after 2 hours. The nurse will anticipate teaching the patient about. Aspirin.
A patient will attempt oral feedings for the first time after having a stroke. The nurse should assess the gag reflex and then. assist the patient into a chair. A male patient who has right-sided weakness after a stroke is making progress in learning to use the left hand for feeding and other activities.
The nurse is planning psychosocial support for the family of the patient who suffered a stroke. What factor will have the greatest impact on family coping?
A patient who has a history of a transient ischemic attack (TIA) has an order for aspirin 160 mg daily. When the nurse is administering medications, the patient says, "I don't need the aspirin today. I don't have a fever." Which action should the nurse take?
The most appropriate short-term goal when teaching this client to control the diabetes is: "1) adhere to the medical regimen
Insulin injections may be given during times of stress-induced hyperglycemia. Oral insulin is not available because of the breakdown of the insulin by digestion. Options 1, 2 and 3 are incorrect
1, 4, 6 Rationale: Classic signs of diabetes mellitus include polydipsia (excessive thirst), polyphagia (excessive hunger), and polyuria (excessive urination). Because the body is starving from the lack of glucose the cells are using for energy, the client has weight loss, not weight gain.
Answer B - Rationale: In type 2 diabetes, the pancreas produces insulin, but the insulin is insufficient for the body's needs or the cells do not respond to the insulin appropriately.
Used as a diagnostic tool, A1C levels of 6.5% or higher on two tests indicate diabetes. A1C of 6% to 6.5% is considered prediabetes.". During a diabetes screening program, a patient tells the nurse, "My mother died of complications of type 2 diabetes.
Answer B - Rationale: In type 2 diabetes, the pancreas produces insulin, but the insulin is insufficient for the body's needs or the cells do not respond to the insulin appropriately. The other information describes the physiology of type 1 diabetes.
4. "With type 2 diabetes, the body produces autoantibodies that destroy b-cells in the pancreas."". "Right Answer: 2. Rationale: In type 2 diabetes mellitus, the secretion of insulin by the pancreas is reduced and/or the cells of the body become resistant to insulin".
If symptoms worsen or you develop a fever (>100.4) go to the emergency room
Nose: No erythema or swelling of turbinates, no discharge and crusting seen in bilateral nares
To resolve the infection and prevent the development of resistant pathogens, it is important that the patient understands she must take an entire course of antibiotics even if she is feeling better.
A proper greeting: 1) uses a friendly tone. 2) addresses both yourself and the patient by name. 3) States your reason for being there. The narrowing and broadening of scope in a health history interview occurs in the contexts of: an organized progression through topics related to patient health.