The nurse is reviewing the actions that a patient with type 1 diabetes mellitus should take if mild hypoglycemia is experienced. What should the nurse include in this teaching?
Select all that apply.
1. Test blood glucose 30 minutes after reaching 70 mg/dL.
2. Ingest 4 ounces of fruit juice when blood glucose is below 70 mg/dL.
3. Measure blood glucose 15 minutes after ingesting a carbohydrate source.
4. Add table sugar to 8 ounces of fruit juice when blood glucose is below 70 mg/dL.
5. Ingest additional 15 grams of carbohydrate if blood glucose remains low after 15 minutes.
Correct Answer: 2, 3, 5
When mild hypoglycemia occurs, immediate treatment is necessary. People experiencing hypoglycemia should take about 15 g of a rapid-acting sugar. This amount of sugar is found in 1/2 cup (4 ounces) of fruit juice. After eating a carbohydrate source the patient should wait 15 minutes and then monitor blood glucose level. If the blood glucose remains low after 15 minutes, eat another 15 grams of carbohydrate. Blood glucose should be tested 1 hour after the blood glucose has reached ≥ 70 mg/dL because blood glucose levels may start to fall again after 1 hour. Adding sugar to the fruit sugar already in the juice could cause a rapid rise in blood glucose, with persistent hyperglycemia.
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1. Review the patient's health history. 2. Tell him that it is self-limiting and will go away in time. 3. Suggest that the patient have a mammogram to ensure he does not have breast cancer. 4. Recommend a breast biopsy to find out the reason for the increase in breast tissue.
The priority nursing diagnosis for a patient experiencing an acute attack with Meniere's disease is
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Your client is in postanesthesia care unit (PACU) and is complaining of pain he rates as 9 on a scale of 10. You gave him pain medication 1 hour ago. What is the most important thing to be aware of at this time?
1. The client does not know how bad his pain is because of his postanesthesia status. 2. The most important information is the client's report of pain. 3. It is too soon to give the client more pain medication. 4. Wait for 30 minutes to see whether the client's pain decreases.