Allison is an 18-year-old college student with type 1 diabetes. Allison's pre-meal BG at 11:30 a.m. is 130. She eats an apple and has a sugar-free soft drink. At 1 p.m. before swimming her BG is 80. What should she do?
1. Proceed with the swimming class.
2. Recheck her BG immediately.
3. Eat a granola bar or other snack with CHO.
4. Take an additional dose of insulin.
ANS: 3
RATIONALE: Although her BG is normal, it will more than likely drop during exercise so she should eat a CHO source before exercising. A and D would likely increase her likelihood of hypoglycemia. B would not be helpful in this situation.
You might also like to view...
The review of systems provides the nurse with:
a. Physical findings related to each system. b. Information regarding health promotion practices. c. An opportunity to teach the patient medical terms. d. Information necessary for the nurse to diagnose the patient's medical problem.
The nurse has worked as a staff nurse in the acute care facility for three years and is considering quitting and taking a job at a large clinic in town. The nurse draws up a list of pros and cons related to the job change
What part of Lewin's change theory is the nurse demonstrating? 1. Unfreezing 2. Moving 3. Refreezing 4. Identifying driving and restraining forces
The nursing instructor is discussing Healthy People 2020 with a group of nursing students. One of the students questions the instructor how this work will impact hospitalization. The best response by the nursing instructor would be:
1. "Healthy People 2020 is a tool for the healthcare providers to offer information to their clients." 2. "Healthy People 2020 seeks to improve health and prevent illness, disability, and premature death." 3. "The purpose of Healthy People 2020 is to reduce health care costs for hospitalized clients." 4. "Healthy People 2020 is seen as a tool by hospitals to reduce length of stay."
The nurse is caring for a young adult patient who is receiving a first dose of flurazepam (Dalmane) as a sedative-hypnotic medication. What intervention will be included in the nurse's plan of care for this patient?
a. Instituting a bed alarm system to prevent falls b. Reassuring the patient that nightmares are not a usual effect c. Reporting a urine output greater than 1500 mL/day d. Teaching the patient that this drug may be used for 6 to 8 weeks