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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Prior to exercising: Testing before exercise is important, especially for clients on insulin, but may not be necessary for all clients depending on their diabetes management and regimen.

B. Before going to bed: This is often recommended for insulin-dependent diabetics to avoid nocturnal hypoglycemia, but it's not universally required for all clients.

C. Immediately after meals: Postprandial glucose testing is useful, especially for gestational diabetes or insulin adjustments, but it is not routinely required for all diabetics.

D. During acute illness: All clients with diabetes should monitor blood glucose more frequently during illness, as stress hormones can cause hyperglycemia or unexpected hypoglycemia.

A. Serum amylase levels. B. Complete blood count. C. Arterial blood gases. D. Liver function tests.

Correct Answer is B

Explanation

A. Serum amylase levels: Serum amylase is helpful in detecting pancreatitis but is not the most immediate concern with symptoms of fatigue, anorexia, and tachypnea. A CBC is more relevant to evaluate possible anemia or infection.

B. Complete blood count: A CBC is crucial to assess for anemia, infection, or other hematologic issues, which could be causing the client's malaise, fatigue, and tachypnea. This is the most important test to guide further treatment.

C. Arterial blood gases: While useful for assessing respiratory function, ABG testing is not the first priority here. The client's symptoms suggest a more likely hematologic issue that would be better assessed with a CBC.

D. Liver function tests: Liver function tests are important but not the most urgent in this case. The CBC provides a broader view of the client's condition and helps identify the underlying cause of the symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning a class about blood glucose monitoring for a group of clients with diabetes mellitus. Which timing of glucose testing would apply for any client regardless of the client's age or type of diabetes?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

Exhibits Which laboratory tests would be helpful in determining the plan of care for this client? Select all that apply.

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The unlicensed assistive personnel (UAP) reports that a client's blood pressure cannot be measured in the arms because the client has casts on both arms and is unable to be measured in the legs because the client is in the supine position. Which action should the nurse implement?

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?