Children and adolescents with diabetes create unique problems when managing their care. What is the best meal plan for children and adolescents with diabetes?
A) High glycemic index C) Individualized meal plans
B) Carbohydrate counting D) Exchange lists
C
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Individualized meal plans and intensive insulin regimens can provide flexibility for erratic eating, activity, and growth.
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A nurse cares for a client who has chronic cirrhosis from substance abuse. The client states, "All of my family hates me." How should the nurse respond?
a. "You should make peace with your family." b. "This is not unusual. My family hates me too." c. "I will help you identify a support system." d. "You must attend Alcoholics Anonymous."
A patient who is 28 weeks pregnant calls the obstetrical clinic and complains of irregular, painless contractions that last for 10 to 15 seconds. What response by the nurse is best?
A. "If they last more than 60 seconds or become regular, come in." B. "Oh, you are just having what are called Braxton Hicks contractions." C. "Pregnant women often experience this type of contraction." D. "You should come in to the clinic as soon as possible today."
The value of a birth plan is that it helps the parents:
a. Assume complete control of the situation. b. Determine the outcome of the birth. c. Take an active part in planning the birth experience. d. Avoid an episiotomy.
A patient is postoperative day 1 following gastrostomy. The nurse is planning interventions to address the nursing diagnosis of Risk for Infection Related to Presence of Wound and Tube. What intervention is most appropriate?
A) Administer antibiotics via the tube as ordered. B) Wash the area around the tube with soap and water daily. C) Cleanse the skin within 2 cm of the insertion site with hydrogen peroxide once per shift. D) Irrigate the skin surrounding the insertion site with normal saline before each use.