Health Promotion and Maintenance NCLEX RN Questions - Nurselytic

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Health Promotion and Maintenance NCLEX RN Questions Questions

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Question 1 of 5

The clinic nurse instructs a client diagnosed with diabetes mellitus about preventing diabetic ketoacidosis on days when the client is feeling ill. Which statement by the client indicates the need for further teaching?

Correct Answer: A

Rationale: Diabetic ketoacidosis is a life-threatening complication of type 1 diabetes mellitus that develops when a severe insulin deficiency occurs. The client needs to be instructed to continue taking insulin, even if vomiting and unable to eat, to prevent ketoacidosis. It is important to self-monitor blood glucose more frequently during illness (every 2 to 4 hours). If the premeal blood glucose is more than 250 mg/dL, the client should test for urine ketones and contact the primary health care provider. Calling the doctor if ill for more than 24 hours, consuming 10 to 15 g of carbohydrates every 1 to 2 hours, and drinking small quantities of fluid every 15 to 30 minutes are accurate interventions to maintain hydration and glucose control during illness.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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