A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 48 mg/dL on the glucometer, he should give the client which of the following?

4 oz diet soda

1 tsp sugar

4 oz skim milk

Graham crackers

Answer and Explanation

The Correct Answer is D

A. 4 oz diet soda: Diet soda contains artificial sweeteners, not real sugar, and therefore will not effectively raise blood glucose levels. It's not suitable for treating hypoglycemia.

B. 1 tsp sugar: While 1 tsp of sugar can provide some glucose, the amount is insufficient to treat hypoglycemia effectively. The American Diabetes Association recommends 15 grams of fast-acting carbohydrates, which is equivalent to about 4 teaspoons of sugar, not 1.

C. 4 oz skim milk: Skim milk contains both carbohydrates (approximately 12 grams of carbohydrates per 8 oz, so 4 oz would provide around 6 grams) and protein. While it can help raise blood glucose, it may not provide the recommended 15 grams of fast-acting carbohydrates to treat hypoglycemia quickly enough.

D. Graham crackers: Foods with a high glycemic index (GI), such as graham crackers, can cause blood sugar levels to rise relatively quickly. Graham crackers, being high in refined carbohydrates, can indeed result in a rapid increase in blood glucose levels compared to low-GI foods.

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Correct Answer is A

Explanation

A. "Have an eye examination once per year." Annual eye examinations are essential for detecting diabetic retinopathy early. Early detection and treatment can help prevent vision loss. This is a key recommendation for managing diabetes-related eye complications.

B. "Examine your feet carefully every day." While daily foot examinations are important for preventing diabetic foot ulcers and other complications, they do not directly address the prevention of retinopathy and nephropathy, which are more related to blood glucose control and vascular health.

C. "Wear compression stockings daily." Compression stockings are used to manage conditions like chronic venous insufficiency and to prevent deep vein thrombosis, but they are not related to the prevention of diabetic retinopathy or nephropathy.

D. "Maintain stable blood glucose levels." Keeping blood glucose levels stable is crucial for preventing both retinopathy and nephropathy. Chronic hyperglycemia is a major risk factor for these complications, and good glycemic control reduces the risk of developing or worsening these conditions. This is also crucial but does not specifically target the complications as precisely as regular eye exams do.

A. Chronic cough B. Sputum production C. Dyspnea D. Wheezing E. Chest tightness

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Chronic cough: Chronic cough is a hallmark symptom of COPD. It results from inflammation and increased mucus production in the airways, leading to a persistent cough that often produces sputum.

B. Sputum production: Sputum production is common in COPD due to chronic bronchitis, which is part of the disease spectrum. It reflects the ongoing inflammation and irritation of the airways.

C. Dyspnea: Dyspnea, or shortness of breath, is a primary symptom of COPD. It occurs due to airflow limitation and reduced lung capacity, making it difficult for the patient to breathe, especially during physical activity.

D. Wheezing: Wheezing can occur in COPD as a result of narrowed airways due to inflammation and mucus build-up. It is a common but not universally present symptom.

B. Sputum production: Sputum production is common in COPD due to chronic bronchitis, which is part of the disease spectrum. It reflects the ongoing inflammation and irritation of the airways.

D. Wheezing: Wheezing can occur in COPD as a result of narrowed airways due to inflammation and mucus build-up. It is a common but not universally present symptom.

E. Chest tightness: Chest tightness is also a common symptom of COPD, reflecting the discomfort and difficulty in breathing caused by the constriction and inflammation of the airways.

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A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 48 mg/dL on the glucometer, he should give the client which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

Which of the following are the most common manifestations of COPD? (Select all that apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

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