Nokea
Which food sources are high in soluble fiber? (Select all that apply.)
- A. Raw fruits
- B. Cooked vegetables
- C. Beans
- D. Lean meat
- E. Bran cereal
Correct Answer: A,C,E
Rationale: Foods high in soluble fiber include raw fruits, beans, and bran cereal, which help manage blood glucose.
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The nurse discussed treatment of hypoglycemia with an adolescent. Which statement by the adolescent leads the nurse to determine the patient understood the instructions?
- A. When my blood glucose is low or if I begin to feel hungry and weak, I will eat six LifeSavers.'
- B. When my blood glucose is low or if I begin to feel hungry and weak, I will give myself Lispro insulin.'
- C. When my blood glucose is low or if I begin to feel hungry and weak, I will have a slice of cheese.'
- D. When my blood glucose is low or if I begin to feel hungry and weak, I will drink a diet soda.'
Correct Answer: A
Rationale: The immediate treatment of hypoglycemia involves consuming a quick source of sugar, such as hard candy like LifeSavers.
The nurse explains that the diagnosis of diabetes is made when the fasting blood glucose level is mg/dL on two separate occasions, and the history is positive for indication of the disease.
Correct Answer: 126
Rationale: A fasting blood glucose level of 126 mg/dL on two separate occasions, with a positive history, confirms diabetes.
The nurse reminds the parents of a diabetic with an insulin pump that the tubing of the pump should be changed aseptically every hours.
Correct Answer: 48
Rationale: The tubing of the insulin pump should be changed every 48 hours to prevent infection.
Which comment made by a school-age child indicates that he needs more teaching about diabetes mellitus and exercise?
- A. I carry a piece of hard candy with me in case I start to feel shaky.'
- B. I make sure I have emergency money when I have soccer practice or a game.'
- C. Sometimes I skip my breakfast when I have a game in the morning.'
- D. I play in soccer games that are scheduled after dinner.'
Correct Answer: C
Rationale: Skipping a meal before exercise increases the risk of hypoglycemia in a child with type 1 diabetes mellitus.
Although the child with type 1 diabetes had her prescribed insulin at 7:30 AM, the child is complaining of hunger and thirst and is drowsy at 10:30 AM. What should the nurse do first?
- A. Walk the patient in the hall for 10 minutes.
- B. Allow the patient a short nap.
- C. Give her a cup of orange juice.
- D. Test her blood with a glucometer and give insulin according to the sliding scale.
Correct Answer: C
Rationale: The immediate remedy is to give orange juice to raise the blood glucose, addressing symptoms of hypoglycemia.