A nurse is working for the summer at a camp for adolescents with diabetes. When providing information on the prevention and management of hypoglycemia, what action should the nurse promote?
Always carry a form of fast-acting sugar.
Perform exercise prior to eating whenever possible.
Eat a meal or snack every 8 hours.
Check blood sugar at least every 24 hours.
The Correct Answer is A
A. Carrying a fast-acting sugar source (like glucose tablets or juice) is crucial for prompt treatment of hypoglycemia, especially during activities like sports or hiking where symptoms can arise quickly.
B. Exercising before eating can increase the risk of hypoglycemia and is not recommended without proper planning.
C. Eating every 8 hours may not be frequent enough to prevent low blood sugar, particularly with insulin use or increased activity.
D. Blood sugar should be checked much more frequently than every 24 hours, especially during active days, to ensure proper management and safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A BUN of 29 mg/dL is slightly elevated and may suggest dehydration, but it is not the most immediately critical finding.
B. A sodium level of 132 mEq/L is mildly hyponatremic but not acutely life-threatening in most cases.
C. A urine specific gravity of 1.025 is within the normal range (1.010–1.030) and not alarming on its own.
D. A serum potassium level of 3 mEq/L is hypokalemic and clinically significant, especially in a client with vomiting. Low potassium can lead to serious cardiac arrhythmias and muscle weakness, making it the most urgent value to address.
Correct Answer is A
Explanation
A. IV administration of 50% dextrose (D50W) is the appropriate emergency treatment for severe hypoglycemia in an unconscious patient. It rapidly raises blood glucose levels and is the standard of care in emergency situations.
B. Administering insulin (Humalog) would worsen hypoglycemia and is contraindicated.
C. Giving additional insulin in any form would further lower the already critically low blood glucose.
D. 5% dextrose in 0.45% NaCl is used for maintenance fluid therapy, not for treating acute, severe hypoglycemia.
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