A nurse is discussing the care of a client who has type 1 diabetes mellitus with an assistive personnel (AP). Which of the following situations should the nurse instruct the AP to report immediately?
The client asks the AP to trim his broken toenail.
The client reports urine that is dark yellow in color.
The client reports dizziness when standing.
The client refuses breakfast and requests to sleep.
The Correct Answer is D
Rationale:
A. Toenail trimming should be performed by a professional to prevent injury, but it does not require immediate reporting.
B. Dark yellow urine can indicate dehydration, but it is not an urgent concern in this context.
C. Dizziness when standing is a concern, but it does not take priority over the refusal of breakfast, which may lead to hypoglycemia.
D. A refusal to eat can lead to hypoglycemia in clients with type 1 diabetes, and this situation should be reported immediately to prevent a dangerous drop in blood glucose levels.
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View Related questions
Correct Answer is A
Explanation
Rationale:
A. Protein intake should be increased in hypothyroidism to support muscle mass and metabolism, which may slow due to reduced thyroid hormone levels.
B. Fiber is important for digestion, but it is not directly related to managing hypothyroidism. Excess fiber may also interfere with thyroid medication absorption.
C. Polyunsaturated fats are beneficial for overall health but do not specifically target the needs of clients with hypothyroidism.
D. Monounsaturated fats are also healthy, but they are not directly linked to the metabolic changes in hypothyroidism.
Correct Answer is C
Explanation
Rationale:
A. Insulin should not be injected into a limb that will be actively exercised, as it can alter absorption rates and lead to hypoglycemia.
B. Regular, moderate exercise is recommended to improve glucose control, not minimizing it.
C. Exercise consistency helps to maintain stable blood glucose levels and prevent fluctuations.
D. Exercising at the peak action of insulin increases the risk of hypoglycemia. It is safer to avoid high-intensity exercise during this time.