A nurse is teaching a client who has type 1 diabetes mellitus about treating a hypoglycemic episode. Which of the following statements should the nurse include in the teaching?
"Drink 4 to 6 ounces of juice.”
"Consume two glucose tablets and check your blood glucose 1 hour later."
"Consume 1 teaspoon of corn syrup-based glucose gel."
"Eat two crackers with peanut butter.”
The Correct Answer is A
A. "Drink 4 to 6 ounces of juice.": Drinking 4 to 6 ounces of juice, which contains carbohydrates, will quickly raise blood glucose levels. This amount is sufficient to correct mild hypoglycemia.
B. "Consume two glucose tablets and check your blood glucose 1 hour later.": After consuming glucose tablets, the client should check their blood glucose in about 15 minutes, not 1 hour. If blood glucose is still low, more glucose should be consumed sooner.
C. "Consume 1 teaspoon of corn syrup-based glucose gel.": One teaspoon of glucose gel is not enough to treat hypoglycemia. A typical recommendation would be 15-20 grams of fast-acting carbohydrates (e.g., glucose tablets or juice), which is more than 1 teaspoon of gel.
D. "Eat two crackers with peanut butter.": This combination is not ideal for treating hypoglycemia quickly. The protein in peanut butter will slow the absorption of glucose, which delays the correction of hypoglycemia. Fast-acting carbohydrates are preferred for rapid treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Decreased urinary output: Decreased urinary output can occur in heart failure due to reduced kidney perfusion, but it is more commonly associated with left-sided heart failure as it leads to fluid congestion in the lungs and a decreased ability of the kidneys to function effectively.
B. Cool extremities: Cool extremities can occur in heart failure, but they are more commonly seen in left-sided heart failure due to poor circulation from the left ventricle. Right-sided heart failure primarily affects the systemic circulation.
C. Peripheral edema: Peripheral edema is a hallmark sign of right-sided heart failure. The right side of the heart is unable to pump blood efficiently to the lungs, causing blood to back up into the veins and resulting in fluid retention in the lower extremities and other parts of the body.
D. Crackles in the lung fields: Crackles in the lung fields are a characteristic finding in left-sided heart failure, as fluid backs up into the lungs. This is not typically a finding associated with right-sided heart failure, which affects the systemic circulation.
Correct Answer is D
Explanation
A. Albumin 4.8 g/dL (3.5 g/dL to 5 g/dL): This albumin level is within the normal range and does not suggest a complication of cirrhosis. Cirrhosis often leads to low albumin levels, so a level of 4.8 g/dL is a positive finding and not indicative of a complication.
B. WBC count 8,000/mm3 (5,000 to 10,000/mm3): This white blood cell count is within the normal range and does not suggest a complication. An elevated WBC count may occur in cirrhosis if there is an infection, but this value is within the normal range.
C. Platelets 325,000/mm3 (150,000 to 400,000/mm3): This platelet count is also within the normal range. Cirrhosis typically causes a decrease in platelet count due to spleen enlargement (splenomegaly) or bone marrow suppression.
D. RBC count 4 million/mm3 (4.2 to 5.4 million/mm3): This red blood cell count is lower than the normal range, which could indicate anemia, a common complication of cirrhosis. Anemia in cirrhosis can result from various factors, including chronic bleeding (such as from varices), poor nutrition, or bone marrow suppression.
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