The parents of a child with type 1 diabetes mellitus ask how to prevent episodes of hypoglycemia. Which recommendation should the nurse make to these parents?
a. Provide three large meals daily but avoid snacks
b. Provide snacks during the day and prior to exercise
c. Avoid extra calories and closely maintain the prescribed diet plan
d. Send candy bars to school with the student in case hypoglycemia symptoms occur
b. Provide snacks during the day and prior to exercise
Children with diabetes should adjust their calories to include three meals a day plus snacks to maintain a balanced glucose level. The student should have glucose in their possession to use in the case of hypoglycemia, but candy bars might be a temptation to eat and could cause hyperglycemia. Providing snacks during the day and before exercise, such as gym, will help to ensure a steady supply of glucose. Extra calories may be needed for children because of the additional calories needed for growth but should be recommended by their dietician.
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The nurse is caring for an older adult patient prescribed allopurinol (Zyloprim). What action by the nurse is best?
a. Offering fresh, cold water frequently dur-ing the day b. Monitoring temperature every 4 hours c. Ensuring sufficient protein intake d. Assessing for depression symptoms daily
You walk into Mr. Smith's room and find him yelling at the LPN, Miss Jones. He is obviously very upset and after you speak with him regarding his behavior, you determine that he has not slept for three nights because of unrelieved pain levels
The LPN is very upset with Mr. Smith and calls him an "ugly, old man." You acknowledge her feelings and concerns and then suggest that Mr. Smith's behavior was aggressive but is related to lack of sleep and to pain. You say to Miss Jones, "Can you both, together with Mr. Smith, determine triggers for the pain and effective approaches to controlling his pain?" This approach demonstrates: a. Lack of empathy and understanding for Miss Jones. b. Concern with placating Mr. Smith. c. Leadership behavior. d. Management behavior.
The ratio of 3:8 converted to a percent is
A. 3.75%. B. 37.5%. C. 0.38%. D. 375%.
A client has not eaten since admission to the long-term care facility 2 days ago. Which is the best intervention for the nurse to prevent malnutrition in this client?
1. Make a diet request to the provider for full liquids. 2. Ask the client's daughter why the client will not eat. 3. Remind the client that nutrition is essential to health. 4. Assess the client for possible barriers to self-feeding.