Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
19. Health teaching for a client who is newly diagnosed with diabetes should include:
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
19. Health teaching for a client who is newly diagnosed with diabetes should include:
. Notify health care provider immediately if the blood sugar is over 150 mg/dL.
. Call provider if breath smells fruity.
. Hold insulin if unable to eat.
. Check blood sugar every hour if sick.
Test-Taking Tip
Think about what independent action the client should take—call the provider. Ask which options indicate a serious change in the client's condition.
Content Area: Adult Health, Endocrine; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Illness Management
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because a blood sugar level over 150 mg/dL is not imminently dangerous. Changes to diabetic management are better made based on trends over days and weeks. Answer 2 is correct because fruity-smelling breath implies the production of ketones, which would occur with inadequate delivery of glucose to the cells. This can cause a dangerous acidosis and should be corrected immediately. Answer 3 is incorrect because clients with diabetes who are unable to eat still need some insulin to handle glucose being made in the liver. The dose will likely need to be reduced, but without insulin the client will become acidotic. Answer 4 is incorrect because blood sugar should be checked more frequently when ill, but rarely would this need to be done more frequently than every couple of hours.