Which of the following is an important consideration when teaching carbohydrate counting to a diabetic patient?

Encouraging the patient to estimate carbohydrate content rather than measuring.

Teaching the patient to balance their carbohydrate intake with insulin or medication.

Emphasizing the importance of avoiding all carbohydrates.

Suggesting that the patient only count carbohydrates from sugary foods.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Estimating carbohydrate content rather than measuring can lead to inaccuracies in blood sugar control for diabetic patients. Precise carbohydrate counting is essential for maintaining glycemic control and preventing hyperglycemia or hypoglycemia, making this approach unsuitable in diabetes education.

Choice B rationale

Balancing carbohydrate intake with insulin or medication is a critical aspect of diabetes management. This ensures stable blood glucose levels as insulin dosage or medication is adjusted according to the patient's carbohydrate consumption, providing personalized glycemic control effectively.

Choice C rationale

Avoiding all carbohydrates is not a realistic or scientifically sound recommendation, as carbohydrates are essential for energy production. Teaching portion control and healthy carbohydrate choices is more effective for diabetic management than complete avoidance.

Choice D rationale

Counting carbohydrates from sugary foods alone ignores the contribution of complex carbohydrates to blood glucose levels. A comprehensive approach that considers all sources of carbohydrates ensures accurate diabetes education and better long-term blood sugar control.

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Correct Answer is D

Explanation

Choice A rationale

Administering dextrose IVP is inappropriate for hyperglycemia. It elevates blood sugar further, risking complications like hyperosmolar hyperglycemic state. It is used to treat severe hypoglycemia instead.

Choice B rationale

Glucagon stimulates glycogen breakdown into glucose, increasing blood sugar. It is contraindicated in hyperglycemia, as it would aggravate elevated glucose levels. It is a treatment for severe hypoglycemia.

Choice C rationale

Holding insulin allows hyperglycemia to persist, increasing risks of complications like ketoacidosis. Insulin administration is essential to reduce the glucose level safely.

Choice D rationale

Rapid-acting insulin like Humalog reduces hyperglycemia efficiently, bringing preprandial blood glucose closer to the target range of 70-130 mg/dL. Administering 4 units is a reasonable corrective dose based on the blood glucose of 243 mg/dL.

A. Place a warm pack on the bleeding site. B. Apply a tourniquet above the bleeding site. C. Direct pressure or sterile pressure dressing and elevation of the extremity. D. Place an ice pack on the bleeding site.

Correct Answer is C

Explanation

Choice A rationale

Applying a warm pack is inappropriate for controlling active bleeding, as it can exacerbate blood flow to the site, worsening the hemorrhage rather than controlling it effectively.

Choice B rationale

Using a tourniquet above the bleeding site is a last-resort method typically reserved for life-threatening bleeding. It may cause complications such as nerve damage or ischemia, so other measures are prioritized first.

Choice C rationale

Direct pressure or sterile pressure dressing with elevation minimizes blood loss effectively by compressing the damaged vessels, promoting clot formation, and utilizing gravity to reduce the pressure at the wound site. It is the recommended first-line method.

Choice D rationale

Placing an ice pack on the bleeding site may reduce localized blood flow by inducing vasoconstriction but is less effective than direct pressure for stopping active hemorrhage. It is secondary to other control measures.

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Which of the following is an important consideration when teaching carbohydrate counting to a diabetic patient?

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Naxlex Comprehensive Predictor Exams

The patient's meal has been delivered, the nurse checks the patient's pre-meal blood sugar, and the result is 243 mg/dL. The patient is awake, alert, hungry, and able to swallow.The next step the nurse should take is:

Correct Answer is D

Explanation

What is the most appropriate method for controlling bleeding at this wound site?

Correct Answer is C

Explanation

The patient's meal has been delivered, and the nurse checks the patient's pre-meal blood sugar.The result is 50 mg/dL. The patient is clammy, diaphoretic, and non-arousable.The next step the nurse should take is:

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