A nurse is teaching a client who has diabetes mellitus about home management of mild hypoglycemia. Which of the following statements should the nurse include in the teaching?
"Eat a large snack of carbohydrates and protein after treating hypoglycemia.
"Treat the symptoms of hypoglycemia by consuming 45 grams of carbohydrates."
"Drink 12 ounces of milk to treat the symptoms of hypoglycemia,"
"Retest your blood glucose 15 minutes after treatment of a hypoglycemic episode."
The Correct Answer is D
A) "Eat a large snack of carbohydrates and protein after treating hypoglycemia":
While consuming a snack of carbohydrates and protein is important for stabilizing blood glucose levels after initial treatment, the immediate treatment for hypoglycemia should focus on quick-acting carbohydrates. A large snack may not be necessary if the client has already consumed enough to address the hypoglycemic episode.
B) "Treat the symptoms of hypoglycemia by consuming 45 grams of carbohydrates":
For mild hypoglycemia, 15-20 grams of carbohydrates is typically sufficient to raise blood glucose levels. Consuming 45 grams may be excessive and could lead to hyperglycemia or other issues, so a more moderate amount is recommended for initial treatment.
C) "Drink 12 ounces of milk to treat the symptoms of hypoglycemia":
While milk can be used to treat hypoglycemia due to its carbohydrate content, it is not the most efficient or recommended first-line treatment. Quick-acting sources like glucose tablets or fruit juice are preferred for rapid management of hypoglycemia.
D) "Retest your blood glucose 15 minutes after treatment of a hypoglycemic episode":
This action is crucial to ensure that the treatment was effective. Hypoglycemia should be reassessed after 15 minutes to confirm that blood glucose levels have returned to a safe range. If symptoms persist or blood glucose levels remain low, additional treatment may be needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Diphenhydramine:
Diphenhydramine is an antihistamine that effectively treats allergic reactions such as hives and urticaria. It works by blocking histamine, a substance in the body that causes allergic symptoms. Administering diphenhydramine can help alleviate itching, swelling, and redness associated with an allergic reaction to IV contrast dye.
B) Desmopressin:
Desmopressin is a synthetic hormone used to treat conditions like diabetes insipidus and bedwetting. It is not indicated for treating allergic reactions or symptoms like hives and urticaria. Using desmopressin in this context would not address the client’s immediate allergic symptoms.
C) Spironolactone:
Spironolactone is a potassium-sparing diuretic used primarily to treat conditions like heart failure, hypertension, and edema. It has no role in managing allergic reactions or symptoms such as hives and urticaria caused by contrast dye. Administering spironolactone would not provide any benefit in this scenario.
D) Metoclopramide:
Metoclopramide is an antiemetic and prokinetic agent used to treat nausea, vomiting, and gastroparesis. It does not have antihistamine properties and would not be effective in treating hives and urticaria following an allergic reaction to IV contrast dye. Using metoclopramide would not address the client's allergic symptoms.
Correct Answer is D
Explanation
A. A client who has diabetes mellitus and is presenting with acute ketoacidosis:
While acute ketoacidosis is a serious condition requiring close monitoring, it does not typically require isolation from other clients. The primary concern is managing the metabolic imbalance and ensuring appropriate insulin therapy and hydration.
B. An older adult client who was admitted with aspiration pneumonia:
Aspiration pneumonia is an infection that might be contagious, but it generally does not require a private room unless the client has specific isolation requirements. The primary need is to manage the infection with antibiotics and supportive care, rather than isolation.
C. A client who has a compound fracture of the right femur:
A compound fracture requires careful wound management and monitoring but does not necessitate a private room. The client needs proper orthopedic care and infection prevention measures for the fracture, but isolation is not typically required for this condition.
D. A client who reports having fever, night sweats, and cough for 2 days:
These symptoms could indicate a potentially infectious disease such as tuberculosis (TB) or another communicable disease. To prevent the spread of possible infections to other clients, this client should be placed in a private room with appropriate isolation precautions until a definitive diagnosis is made and proper measures are taken.
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