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. "I should wear goggles when irrigating a wound.":
Wearing goggles during procedures like wound irrigation is appropriate as it protects the eyes from potential splashes or sprays of bodily fluids, which can pose an infection risk. This statement reflects an understanding of proper personal protective equipment (PPE) use for preventing exposure to potentially infectious materials.
B. "I should wear a gown to remove linens from a client's bed.":
Wearing a gown is typically indicated when there is a risk of contact with blood, body fluids, or contaminated items, rather than for removing linens. For routine linen changes, gloves are usually sufficient, unless the linens are visibly soiled or there is a risk of significant contamination.
C. "Sterile gloves are required when administering an IM injection.":
Sterile gloves are not required for administering intramuscular (IM) injections. Clean, non-sterile gloves are generally sufficient for this procedure. Sterile gloves are reserved for sterile procedures, such as those involving sterile fields or invasive procedures requiring strict asepsis.
D. "I should use both hands to recap a needle.":
Recapping needles using both hands is not recommended due to the increased risk of needle-stick injuries. The safest practice is to use a one-handed "scoop" technique or, preferably, to use safety-engineered devices designed to prevent needle-stick injuries.
Correct Answer is C
Explanation
A. "Wear your dentures only during meals."
Wearing dentures only during meals can help reduce irritation to the mucous membranes, but it may not address the overall management of mucositis. It’s important to focus on maintaining oral hygiene and minimizing trauma to sensitive tissues.
B. "Rinse your mouth with hydrogen peroxide."
Hydrogen peroxide can be irritating to oral tissues and may exacerbate mucositis. It’s typically better to use a saline or bicarbonate mouthwash, which is gentler and helps soothe the mouth without causing further irritation.
C. "Floss your teeth gently following each meal."
Gently flossing helps remove food particles and plaque, reducing the risk of infection. It is important to perform this carefully to avoid damaging the already sensitive and inflamed mucosa, promoting oral health while managing mucositis.
D. "Brush your teeth for 60 seconds twice daily."
Brushing is essential, but it should be done gently with a soft-bristled brush. Brushing for a specific duration is less important than ensuring it is done carefully to prevent further irritation or injury to the mouth.
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