A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following?

Draws up regular insulin before NPH when demonstrating injection technique

Says that he will see a primary care provider to treat corns on his feet

States that he will treat hypoglycemic reactions with 15 g of carbohydrates

Lists sweating, shaking, and palpitations as symptoms of hyperglycemia

None

Answer and Explanation

The Correct Answer is D

A: Drawing up regular insulin before NPH is the correct technique, as regular insulin is short-acting and NPH is intermediate-acting. Mixing insulins should be done in a specific order to prevent contamination or altering the action of the insulins.
B: Seeing a primary care provider for foot care is appropriate for a person with diabetes. Foot care is essential due to the high risk of foot problems in diabetes, and a primary care provider can offer appropriate treatment and guidance.
C: Treating hypoglycemic reactions with 15 g of carbohydrates is the recommended initial treatment. This quick-acting source of sugar helps to raise blood glucose levels efficiently during a hypoglycemic episode.
D: Listing sweating, shaking, and palpitations as symptoms is incorrect for hyperglycemia; these are symptoms of hypoglycemia. Hyperglycemia symptoms include frequent urination, increased thirst, and blurred vision. This indicates a lack of understanding of the difference between hyperglycemia and hypoglycemia, which is crucial for managing diabetes.

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Correct Answer is C

Explanation

A. Incorrect. Allowing the baby to finish a bottle at the next feeding increases the risk of overfeeding and can lead to problems such as excessive weight gain and discomfort.
B. Incorrect. Placing the baby on their stomach after feedings increases the risk of choking and is not recommended. The correct position is to place the baby on their back to sleep.
C. Correct. Newborns typically need to be fed approximately every 2-3 hours, which amounts to about six to eight feedings per day. This statement indicates an understanding of the frequency of feeding required for a newborn.
D. Incorrect. Adding rice cereal to a newborn's bottle is not recommended, especially without medical advice, as it can increase the risk of choking and may not be developmentally appropriate.

A. "You should verify the identity of anyone who wants to remove your baby from the room." B. "You can leave your baby in your room while you walk in the hallway." C. "Your baby should have one identification band on either their night arm or right leg." D. "You can leave the unit with your baby as long as you notify the nurse." E. "You can leave the unit with your baby as long as you notify the nurse."

Correct Answer is A

Explanation

A. Verifying the identity of anyone who wants to remove the baby from the room is crucial for ensuring the security and safety of the newborn. This helps prevent unauthorized individuals from taking the baby without proper authorization from the parents or healthcare staff.
B. Leaving the baby unattended in the room while the parent walks in the hallway can pose a safety risk, as the newborn should always be under supervision to prevent accidents or unauthorized access.
C. Newborns typically wear identification bands on both wrists to ensure accurate identification and prevent mix-ups in the hospital setting. Placing identification bands on other body parts may lead to confusion.
D. Leaving the unit with the baby without notifying the nurse can compromise the security measures in place and may lead to confusion or concern among hospital staff regarding the whereabouts of the newborn. It's important to communicate with healthcare providers before leaving the unit with the baby.

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A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following?

Nursing Test Bank

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