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The nurse is caring for a client with diabetes mellitus, type 1 who asked for the meaning of glycemic index. Which of the following responses by the nurse would be correct?

"It describes a list of foods that are alike in terms of the amount of carbohydrate, fat, protein, and calories in each food."

"It is a value assigned to foods based on how slowly or how quickly those foods cause increases in your blood glucose level."

"It is a diet plan that tracks the amount of carbohydrates in food to ensure that a predetermined amount is consumed during a given meal."

"It is a scoring system that describes the amount of carbohydrates, in grams, that is present in each serving of a food."

Answer and Explanation

The Correct Answer is B

A. "It describes a list of foods that are alike in terms of the amount of carbohydrate, fat, protein, and calories in each food." This definition does not describe the glycemic index. The glycemic index focuses on how quickly a food raises blood glucose, not on the carbohydrate, fat, protein, and calorie content of foods.
B. "It is a value assigned to foods based on how slowly or how quickly those foods cause increases in your blood glucose level." The glycemic index (GI) measures how quickly a carbohydrate-containing food raises blood glucose levels after consumption. Foods with a high GI cause rapid spikes in blood glucose, while those with a low GI cause slower increases.
C. "It is a diet plan that tracks the amount of carbohydrates in food to ensure that a predetermined amount is consumed during a given meal." This describes carbohydrate counting or a carbohydrate-based meal plan, not the glycemic index.
D. "It is a scoring system that describes the amount of carbohydrates, in grams, that is present in each serving of a food." This describes the concept of carbohydrate counting, which focuses on the total grams of carbohydrates in food, not the rate at which those carbohydrates affect blood glucose.

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Correct Answer is C

Explanation

A. Saturated solution of potassium iodide (SSKI) is typically administered orally, not by injection. Therefore, cleansing an injection site is not relevant to this medication.
B. SSKI is not administered intravenously, so this step is unnecessary. Potassium iodide is given orally, so examining it for IV-related concerns such as crystals is not applicable.
C. SSKI has an unpleasant taste, so it is commonly mixed with fruit juice (or another liquid like water) to make it more palatable. Using a straw can help minimize the direct contact with the teeth and reduce the risk of irritation to the mouth and throat.
D. While monitoring vital signs is important for assessing the overall health status of the client, it is not routinely required specifically prior to administering SSKI, unless there are indications of a more serious issue or pre-existing conditions like thyroid dysfunction that may require more monitoring. This action would be more relevant for medications that directly affect hemodynamics or electrolyte balance, which is not a typical concern for SSKI.

A. Encourage the client to take the medication with food B. Instruct the client to try acetaminophen, aspirin or caffeine compounds instead. C. Instruct the client to stop taking the medication and speak with the health care provider. D. Tell the client she may need to increase the dose while pregnant.

Correct Answer is C

Explanation

A. Taking naproxen with food can reduce gastrointestinal upset, but this does not address its potential harm during pregnancy.
B. Acetaminophen is generally considered safe during pregnancy, but aspirin and caffeine compounds may carry risks and should not be recommended without provider guidance.
C. Instruct the client to stop taking the medication and speak with the health care provider is correct. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that is generally not recommended during pregnancy, especially in the third trimester, due to potential risks such as premature closure of the ductus arteriosus and impaired fetal renal function. The client should stop taking the medication and consult with the provider for safer alternatives.
D. Increasing the dose of a potentially harmful medication during pregnancy is inappropriate and could increase risk to the fetus.

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The nurse is caring for a client with diabetes mellitus, type 1 who asked for the meaning of glycemic index. Which of the following responses by the nurse would be correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Explanation

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