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 ["B","C","D"]
Explanation
A. Monitor collection container and replace when full: The nurse should monitor the collection container to ensure it doesn't become full, as this could cause backflow into the pleural cavity. Replacing it when full is essential to maintain proper drainage.
B. Encourage frequent use of the incentive spirometer: Using the incentive spirometer helps prevent atelectasis and pneumonia by promoting lung expansion. It is important for postoperative recovery to maintain good respiratory function.
C. Assess area around chest tube for subcutaneous emphysema: Subcutaneous emphysema can occur if air leaks into the tissues around the chest tube. The nurse should check for this condition as it could indicate complications like an air leak or pneumothorax.
D. Keep tubing loosely coiled below the level of the chest: The tubing should be positioned below the chest to facilitate gravity drainage. Keeping it loosely coiled ensures that fluid and air drain efficiently without backflow.
E. Verify air bubbling present in the water seal chamber: Continuous bubbling in the water seal chamber is not expected and may indicate an air leak. Intermittent bubbling may be normal if the lung is still re-expanding, but ongoing bubbling should be reported, not simply verified.
Correct Answer is ["83"]
Explanation
Rationale:
Total volume to be infused = 500 mL.
Infusion time in minutes = 2 hours × 60 minutes/hour
= 120 minutes.
Drop factor of the IV administration set = 20 gtt/mL.
- Calculate the flow rate in drops per minute (gtt/min).
Flow rate (gtt/min) = (Total volume (mL) × Drop factor (gtt/mL)) / Infusion time (min)
= (500 mL × 20 gtt/mL) / 120 min
= 10000 / 120 gtt/min
= 83.333... gtt/min.
- Round the answer to the nearest whole number.
= 83 gtt/min
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