Exhibits
The client asks the diabetic nurse educator to clarify what the Registered Dietician told her about the content and timing of her meals.
Which 3 responses should the diabetic nurse educator provide?
Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily.
Eliminate the bedtime snack if heartburn develops after eating.
Choose complex carbohydrates that are high in fiber content.
Increase the percentage of protein in the diet if anemia develops.
Avoid foods high in refined sugars.
Correct Answer : A,C,E
A. Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily: Staying hydrated is important, especially for a pregnant woman with gestational diabetes. Adequate fluid intake helps manage blood glucose levels and prevents dehydration.
B. Eliminate the bedtime snack if heartburn develops after eating: While heartburn is a common issue during pregnancy, it’s not specifically related to gestational diabetes. Instead of eliminating the bedtime snack, the client could be advised to choose lighter, non-acidic snacks.
C. Choose complex carbohydrates that are high in fiber content: Complex carbohydrates, such as whole grains, legumes, and vegetables, have a lower glycemic index compared to refined carbs. They are digested more slowly and help regulate blood sugar levels.
D. Increase the percentage of protein in the diet if anemia develops: If anemia develops, increasing iron-rich foods (not just protein) is essential. Iron-rich foods like leafy greens, red meat, and legumes should be emphasized, as protein alone may not address iron deficiencies.
E. Avoid foods high in refined sugars: Refined sugars cause rapid spikes in blood glucose levels, which can worsen gestational diabetes. It's important to limit these foods to help maintain stable blood sugar levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Leakage of cerebral spinal fluid from the incisional site: Leakage of cerebrospinal fluid (CSF) from the incision site is a serious postoperative complication. It could indicate a shunt malfunction or infection, requiring immediate attention.
B. Poor feeding and vomiting: These symptoms may indicate increased intracranial pressure, which can result from a shunt malfunction or infection, both serious complications that need to be addressed immediately.
C. Abdominal distention: Abdominal distention in an infant with a VP shunt can indicate an issue with the peritoneal end of the shunt. This could be due to malabsorption of CSF in the peritoneal cavity, infection (peritonitis), or kinking/blockage of the catheter in the abdomen, leading to accumulation of fluid and distention.
D. WBC of 10,000/mm3 (10 x 10^9/L): A WBC count of 10,000/mm3 is within the normal range for a one-week-old infant. Therefore, this finding does not indicate infection or an inflammatory response and is not a concern in this case.
E. Hyperactive bowel sounds: Hyperactive bowel sounds are typically not associated with a VP shunt complication. This finding is generally indicative of gastrointestinal motility, which is not related to a shunt malfunction or infection.
Correct Answer is A
Explanation
A. Chest tube insertion tray: Thoracentesis may lead to complications like pneumothorax, especially in clients with lung disease such as emphysema. If air or fluid reaccumulates or lung collapse occurs, a chest tube may be urgently required to re-expand the lung and drain air or fluid buildup.
B. Intubation tray: While intubation may be needed in cases of severe respiratory failure, it is not the first-line equipment after an ineffective thoracentesis. It would only be used if the patient is unable to breathe adequately despite other interventions.
C. Ventilator: Mechanical ventilation is not immediately needed for a failed thoracentesis unless the client develops respiratory failure. It is a secondary measure if oxygenation cannot be maintained with basic support.
D. Crash cart: A crash cart is essential during cardiac arrest or life-threatening emergencies. It is not the most appropriate equipment to have specifically for an ineffective thoracentesis unless severe complications arise suddenly.
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