In this task, you are given a multiple-choice question about healthcare. Answer the question based on your information and classify your answers into '1', '2', '3', and '4'.

[EX Q]: Question: When choosing the most appropriate intervention, when the NANDA, NOC, and NIC classifications are used together, the fundamental reference element is: 
 Options:  <1> The diagnosis. <2> The patient's preferences <3> The objects of the plan. <4> The result. <5> The activities that can be carried out.
[EX A]: 4

[EX Q]: Question: A 55-year-old woman with adrenal insufficiency has been prescribed corticosteroid treatment. Which of the following instructions would you provide in relation to this treatment? 
 Options:  <1> Take the drug first thing in the morning. <2> Take the drug before bedtime. <3> Exclude foods rich in calcium and vitamin D from the diet. <4> Eat a diet low in calories and protein. <5> Monitor the decrease in blood pressure.
[EX A]: 1

[EX Q]: Question: A 62-year-old man with type 2 diabetes mellitus of 10 years of evolution performs treatment with metformin and sitagliptin. Does little physical exercise and performs a proper diet. In the last 6 months he has lost weight and has more asthenia. Their glycemic controls have deteriorated, going from basal glycemia of 110-140 mg / dl to glycemias of 170-200 mg / dl, as well as their glycosylated hemoglobin, which has gone from 7.1 to 8.5%. The most appropriate therapeutic measure to perform is: 
 Options:  <1> Increase the intake of protein and long chain carbohydrates in the diet to improve asthenia and weight loss. <2> Associate a dose of basal insulin with the treatment. <3> Associate acarbose treatment. <4> Replace sitagliptin with pioglitazone. <5> Replace metformin with glimepiride.
[EX A]:
2