A nurse is caring for a client who has type 1 diabetes mellitus and observes mild hand tremors. Which of the following snacks should the nurse offer the client after obtaining a glucometer reading of 60 mg/dL?
4 oz of regular soda
One to two oral glucose tablets
6 oz of milk
Three to four pieces of hard candy
The Correct Answer is A
Rationale:
A. Regular soda provides a fast-acting source of glucose, which is essential for quickly raising blood sugar levels in a hypoglycemic event.
B. While oral glucose tablets are a good option, they may not act as quickly as soda in this case, especially if not immediately available.
C. Milk contains lactose, which takes longer to convert into glucose and is not ideal for rapidly raising blood glucose levels.
D. Hard candy can work, but soda is often faster in delivering glucose.
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Correct Answer is D
Explanation
Rationale:
A. Diabetes insipidus typically causes dehydration, which leads to weak rather than bounding pulses.
B. Clients with diabetes insipidus often have dry mucous membranes due to excessive fluid loss.
C. Bradycardia is not associated with diabetes insipidus. Tachycardia is more likely due to dehydration.
D. Diabetes insipidus leads to excessive urination, resulting in diluted urine with decreased specific gravity.
Correct Answer is D
Explanation
Rationale:
A. Toenail trimming should be performed by a professional to prevent injury, but it does not require immediate reporting.
B. Dark yellow urine can indicate dehydration, but it is not an urgent concern in this context.
C. Dizziness when standing is a concern, but it does not take priority over the refusal of breakfast, which may lead to hypoglycemia.
D. A refusal to eat can lead to hypoglycemia in clients with type 1 diabetes, and this situation should be reported immediately to prevent a dangerous drop in blood glucose levels.