A nurse is caring for a client who has diabetes mellitus and is experiencing a mild hypoglycemic reaction. Which of the following snacks should the nurse offer the client that contains 15 g of carbohydrates?
120 mL (4 oz) sugar-free soda
Three saltine crackers
120 mL (4 oz) fruit juice
Three pieces of hard candy
The Correct Answer is C
A. 120 mL (4 oz) sugar-free soda: Sugar-free soda does not contain carbohydrates or glucose, which are necessary to treat hypoglycemia. It is sweetened with artificial sweeteners that do not raise blood glucose levels. Offering this would not correct a hypoglycemic episode and could result in worsening symptoms.
B. Three saltine crackers:Three saltine crackers contain only about 6–7 grams of carbohydrates, which is not enough to effectively manage mild hypoglycemia. A total of 15 grams of fast-acting carbohydrates is needed to raise blood glucose to a safe level. While crackers are useful for long-term blood sugar stabilization, they are not sufficient for initial correction.
C. 120 mL (4 oz) fruit juice: Fruit juice is a fast-acting carbohydrate and is quickly absorbed into the bloodstream, making it effective for treating mild hypoglycemia. Four ounces of juice typically contain approximately 15 grams of carbohydrates, meeting the recommended amount for correcting low blood glucose promptly.
D. Three pieces of hard candy: While hard candy can be used to treat hypoglycemia, three small pieces usually provide only about 9–12 grams of carbohydrates, depending on the brand and size. This may be inadequate to raise blood glucose effectively. The client would likely need 4–5 pieces to meet the 15-gram threshold.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Ground meat: Ground meat is good for a mechanically altered diet because it can be easily chewed and swallowed compared to whole cuts of meat. The texture is soft and can be modified further if necessary, making it suitable for clients with difficulty chewing or swallowing. It provides a good source of protein, essential for recovery and tissue repair.
B. Raw broccoli: Raw broccoli is not suitable for a mechanically altered diet, as it can be difficult for a client to chew properly and may pose a choking hazard. Vegetables with tough, fibrous textures require further modification, such as cooking or pureeing, to ensure safe consumption for individuals with swallowing difficulties.
C. Strawberries: Strawberries, although soft, are not ideal for a mechanically altered diet, particularly if they are whole or in large pieces. The seeds and texture may still pose a risk for choking or difficulty swallowing. To include strawberries safely, they would need to be pureed or cut into very small pieces, which is not the most efficient choice for a mechanically altered diet.
D. Mashed potatoes: Mashed potatoes are a good choice for a mechanically altered diet because they are soft, smooth, and easy to swallow, which helps prevent choking or aspiration. Mashed potatoes can also be flavored with various ingredients, providing nutritional value and palatability while adhering to the requirements for a mechanically altered diet.
E. Ice cream: Ice cream can be included in a mechanically altered diet because it has a soft, smooth texture that is easy to swallow. Additionally, it can provide a source of calories and protein, which may be especially beneficial for clients who have difficulty maintaining adequate nutrition after a stroke. However, it should be offered in moderation, as it is high in sugar and fat.
Correct Answer is A
Explanation
A. "This lab measures your average blood glucose over a 3-month period." The hemoglobin A1c test reflects the average blood glucose levels over the past 2 to 3 months by measuring the percentage of glucose attached to hemoglobin in red blood cells. Since red blood cells have a lifespan of about 120 days, this test provides a long-term view of glycemic control.
B. "An increase in your hemoglobin A1c level indicates glycemic control." An increase in hemoglobin A1c levels actually indicates poor glycemic control, not improvement. Higher values mean blood glucose has been elevated over time, which can lead to complications such as neuropathy, nephropathy, and retinopathy in diabetic patients.
C. "This lab value is a good indicator of short-term nutritional status." The hemoglobin A1c test is not used to assess short-term nutritional status. Instead, it measures long-term blood glucose trends. For evaluating short-term changes in nutrition, blood glucose logs or postprandial glucose readings are better tools to use.
D. "You will need to fast before getting this test." Fasting is not required for the hemoglobin A1c test. The result is not affected by recent food intake, making it convenient for patients. This feature makes it more practical than fasting plasma glucose or oral glucose tolerance tests when assessing overall glycemic control in diabetes management.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.