The clinic nurse is evaluating a client

The clinic nurse is evaluating a client with Type 2 Diabetes Mellitus who intends to enroll in a tennis class. Which statement made by the client indicates the client understands the effects of exercise on insulin demand? Select one: • a. “I will carry a high-fat, high-calorie food, such as a cookie.” • b. “I will eat a 15-gram carbohydrate snack before playing tennis.” c. “I will need to slow down during tennis if I feel sweaty or shaky.” • d. “I will administer two (2) units of lispro insulin prior to playing tennis.” A client has been taught about lifestyle changes to help manage newly diagnosed diabetes mellitus type 2. Which statement by the client indicates good understanding? Select one: a. “Weight gain may lead to type 1 diabetes and I would need insulin.” b. “My vision and foot pain may go away if I lose some weight.” c. “I may not need to take medications if my weight is maintained.” d. “I do not have to check my blood glucose if my weight is in the proper range. A client who has been taking high-dose corticosteroid therapy for 1 month to treat a severe inflammatory condition, which has now resolved, asks the nurse why she needs to continue taking corticosteroids. Which is the nurse’s best response? Select one: a. “It is possible for the inflammation to recur if you stop the drugs.” b. “Once you start corticosteroids, you have to be weaned off them.” c. “The drug suppresses your immune system, which needs to be built back up.” d. “You must decrease the dose slowly so your adrenal medulla will begin to work again. The client with type 1 diabetes mellitus is scheduled for cardiac rehabilitation exercises (cardiac rehab). The nurse notes that the client’s blood glucose level is 300 mg/dL and that the urine is positive for ketones. How should the nurse proceed? Select one: a. Give insulin prior to cardiac rehab. b. Delay cardiac rehab for a couple of hours. c. Cancel cardiac rehab and notify provider. d. Send the client to cardiac rehab. SCIENCE HEALTH SCIENCE NURSING NURSING 101

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