A patient with newly diagnosed diabetes asks the nurse what to take for low blood sugar. Which of the following would be most appropriate for the nurse to suggest?

Cheese

Beef jerky

Raisins

Chocolate

Answer and Explanation

The Correct Answer is C

C. Raisins are a source of carbohydrates, particularly simple sugars like glucose and fructose, which can quickly raise blood sugar levels during an episode of hypoglycemia. However, they do not contain protein, which can help sustain blood sugar levels over time. Raisins may provide a rapid increase in blood sugar but may not be as effective at preventing subsequent episodes of hypoglycemia.
A. Cheese is a source of protein and contains very little carbohydrate. While protein can help stabilize blood sugar levels, it may not provide a rapid increase in blood sugar during an episode of hypoglycemia. Cheese alone may not be the most effective choice for treating low blood sugar promptly.
B. Beef jerky is primarily a source of protein and may not contain enough carbohydrates to quickly raise blood sugar levels during an episode of hypoglycemia. While protein can help stabilize blood sugar over time, it may not provide the rapid increase in blood sugar needed to address acute hypoglycemia.
D. Chocolate, especially dark chocolate with a high cocoa content, contains carbohydrates in the form of sugar and fat. While it can quickly raise blood sugar levels due to its sugar content, it may not provide sustained energy due to its low protein content.

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Correct Answer is C

Explanation

C. Elevating the head of the bed can help reduce nighttime GERD symptoms. By elevating the head of the bed by about 6 to 8 inches (15 to 20 centimeters), gravity helps prevent stomach acid from refluxing into the esophagus while the individual is lying down. This position can alleviate symptoms such as heartburn, regurgitation, and coughing during sleep.
A. Alcohol consumption, especially before bedtime, can exacerbate GERD symptoms. Alcohol relaxes the lower esophageal sphincter (LES), allowing stomach acid to reflux into the esophagus more easily.
B. Sleeping on the stomach with the head flat can worsen GERD symptoms. This position can increase pressure on the stomach and promote reflux of stomach acid into the esophagus. Sleeping on the stomach is generally not recommended for individuals with GERD.
D. Eating a large meal or having a snack shortly before bedtime can increase the likelihood of GERD symptoms during sleep. It's generally recommended to avoid eating large meals or heavy snacks close to bedtime. Instead, individuals with GERD should aim to finish eating at least 2 to 3 hours before lying down to sleep.

A. Newer laser surgery can improve sight after retinal hemorrhage. B. The high incidence of cataracts can be surgically corrected. C. Good control of blood glucose and blood pressure can reduce the risk. D. Diabetes is low as a cause for blindness in the United States.

Correct Answer is C

Explanation

C. Good control of blood glucose levels and blood pressure is essential in reducing the risk of diabetic retinopathy and its progression. Research has shown that maintaining tight glycemic control and managing hypertension can significantly decrease the likelihood and severity of retinopathy in patients with diabetes.

A. Laser surgery is a treatment option for certain complications of diabetic retinopathy, such as retinal hemorrhage or retinal detachment. However, it's essential to emphasize that prevention through good glycemic control and regular eye exams is key to reducing the risk of these complications, rather than relying solely on surgical interventions after they occur.
B. Cataracts are more common in individuals with diabetes and can be surgically corrected but this statement does not directly address the concern about retinopathy. Cataracts and retinopathy are separate ocular complications of diabetes, each requiring different management strategies.
D. Diabetes remains one of the leading causes of blindness in the United States, primarily due to its association with diabetic retinopathy. While advancements in diabetes management and eye care have helped reduce the incidence of blindness, it is still a significant concern for individuals with diabetes.

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A patient with newly diagnosed diabetes asks the nurse what to take for low blood sugar. Which of the following would be most appropriate for the nurse to suggest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

A patient with type 1 DM expresses concern about developing retinopathy due to a chronic disease. How should the nurse reply?

Correct Answer is C

Explanation

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The nurse is assisting with nutrition teaching for a patient who voices concern over adjusting to a diabetic diet. Which response by the nurse about medical nutrition therapy is correct?

A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?

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