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."
"Consume1 teaspoon of corn syrup-based glucose gel."
"Consume two glucose tablets and check your blood glucose 1 hour later."
"Eat two crackers with peanut butter."
The Correct Answer is A
A. Drinking 4 to 6 ounces of juice (such as orange juice) is a fast-acting carbohydrate source recommended to quickly raise blood glucose levels during a hypoglycemic episode. This is part of the standard 15/15 rule: give 15 grams of fast-acting carbohydrate, then recheck blood glucose in 15 minutes.
B. 1 teaspoon of glucose gel is typically insufficient; usually, 1 tablespoon or more is required to deliver 15 grams of carbohydrate.
C. Two glucose tablets may be too little, depending on the brand; most tablets contain only 4 grams each, and 15 grams is typically required. Also, waiting 1 hour to recheck blood glucose is too long—blood glucose should be checked after 15 minutes.
D. Peanut butter with crackers is a slower-acting carbohydrate and fat combination, better for preventing future episodes after blood sugar is stabilized—not for initial treatment of acute hypoglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Occupational therapists focus on improving daily living activities but do not directly address nutritional status.
B. Respiratory therapists manage breathing and airway issues, not nutrition.
C. Dietitians specialize in assessing nutritional status and creating dietary plans, making them the appropriate team member to collaborate with regarding weight loss and low prealbumin.
D. Physical therapists focus on mobility and strength, not nutrition.
Correct Answer is C
Explanation
A. PICC lines are typically inserted into veins in the upper extremity (e.g., basilic or cephalic vein), not the lower extremities.
B. A 10 mL syringe (or larger) is recommended to flush PICC lines to avoid excessive pressure that could damage the catheter; a 3 mL syringe generates too much pressure.
C. Flushing the PICC line with 0.9% sodium chloride (normal saline) after medication administration is standard practice to maintain catheter patency and prevent clotting.
D. Pneumothorax is a potential complication of central venous catheters inserted in the subclavian or jugular veins, not typically with PICC lines, as they are inserted peripherally.
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