Pharmacology Diabetes meds #1

Question

Which is the overall reason the clinic nurse carefully educates the newly diagnosed client with diabetes type 2 about diet, exercise, and intake of sulfonylurea oral hypoglycemics to maintain normal blood glucose levels?

Answers

  1. To increase self-esteem
    • Rationale:

      This answer is not correct because increasing self-esteem is not the main reason for teaching a newly diagnosed client about how to maintain normal blood glucose levels. Priority, according to Maslow Hierarchy of Needs supports the physiological need of preventing complications over increasing self-esteem.

  2. To prevent complications
    • Rationale:

      This answer is correct because prevention of long term complications is the overall reason for education and treatment of the diabetic. Maintenance of normal blood glucose levels will help diminish complications associated with diabetes, including peripheral vascular disease, coronary disease, renal disease, and visual loss.

  3. To decrease respiratory acidosis
    • Rationale:

      This answer is not correct because respiratory acidosis is not directly associated with diabetes. Metabolic acidosis, specifically diabetic ketoacidosis (DKA), can occur related to extremely elevated blood glucose levels. Kussmaul breathing pattern is a compensatory clinical manifestation of DKA but is not respiratory acidosis.

  4. To reduce risks of lipodystrophy
    • Rationale:

      This answer is not correct because lipodystrophy is most associated with injection of insulin. This client is a new diabetic taking an oral hypoglycemic, sulfonylurea. This client would not have that risk unless insulin is prescribed.

Overview

Diminishing the risks of diabetic complications is the overall reason for education and treatment of the diabetic. Complications can be diminished through education about exercise, diet, and maintaining normal blood glucose levels.

Explanation

Learning Outcomes

Diminishing the risks of diabetic complications is the goal of education and treatment of the diabetic. Education about diet, exercise, and maintaining normal blood glucose levels are priority. A new type 2 diabetic client may also take oral hypoglycemic medications, such as sulfonylureas. All this is reviewed with the client to assure normal blood glucose levels are maintained to diminish complications associated with diabetes. Complications associated with uncontrolled diabetes include peripheral vascular disease, coronary disease, renal disease, and visual loss.

Test Taking Tip

Do not forget to apply Maslow Hierarchy of Needs when answering NCLEX-style questions.

Video Rationale