Nokea
A nurse is caring for a client who has gestational diabetes and reports feeling shaky, sweaty, and having blurred vision. The client's blood glucose level is 48 mg/dL. Which of the following foods should the nurse give to the client? (Select all that apply).
- A. 1 tbsp honey
- B. 120 mL milk
- C. 5 hard candies
- D. 240 mL regular soda
- E. 120 mL unsweetened fruit juice
Correct Answer: A,B,C,D
Rationale: A, B, C, D provide quick sugar sources to correct hypoglycemia; unsweetened juice (E) lacks sufficient glucose.
You may also like to solve these questions
A nurse is caring for a client who has a large surgical wound healing by secondary intention. The nurse should recommend a diet high in protein and which of the following nutrients?
- A. Vitamin C
- B. Iron
- C. Potassium
- D. Niacin
Correct Answer: A
Rationale: Vitamin C is essential for collagen synthesis and wound healing. It helps improve the strength of the wound and promotes tissue repair, making it crucial for clients healing by secondary intention.
A nurse is reinforcing teaching with a client who is scheduled for abdominal surgery about coughing and deep breathing. Which of the following statements should the nurse make?
- A. Inhale through your mouth when deep breathing.
- B. Cough and deep breath every 4 hours.
- C. Lie supine to cough and deep breath.
- D. Splint your incision with a pillow when coughing.
Correct Answer: D
Rationale: Splinting the incision with a pillow reduces pain and supports the surgical site during coughing, enhancing effectiveness post-surgery.
A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
- A. My breath may have a fruity odor.
- B. I will be more thirsty than usual.
- C. My appetite will be decreased.
- D. I might experience blurry vision at times.
Correct Answer: B
Rationale: Increased thirst (polydipsia) is a classic hyperglycemia symptom due to dehydration from glucose excretion.
A nurse is collecting data on a client who is experiencing hypovolemia. Which of the following findings should the nurse expect?
- A. Peripheral edema
- B. Oliguria
- C. Hypertension
- D. Bradycardia
Correct Answer: B
Rationale: Oliguria occurs in hypovolemia as kidneys conserve fluid due to low volume.
A nurse collecting data from a client who has dehydration. Which of the following findings should the nurse expect?
- A. High blood pressure
- B. Moist skin
- C. Dark-colored urine
- D. Distended neck veins
Correct Answer: C
Rationale: Dark urine indicates dehydration as kidneys concentrate urine to conserve water.