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. Glucose levels are not directly affected by hyperthyroidism and are typically within the normal range unless the client has diabetes or another condition.
B. Triiodothyronine (T3) levels are elevated in hyperthyroidism due to excessive thyroid hormone production.
C. Thyroxine (T4) levels are also elevated in hyperthyroidism.
D. Thyroid stimulating hormone (TSH) is suppressed in hyperthyroidism because the thyroid gland produces excessive hormones, causing a negative feedback loop that reduces TSH levels.
Correct Answer is D
Explanation
Rationale:
A. Taking a laxative yesterday is not directly relevant to the IVP procedure and does not typically pose a significant risk.
B. Not eating or drinking since the night before is expected for clients scheduled for an IVP due to the need for fasting prior to the procedure.
C. Reporting painful voiding may indicate a urinary tract issue, but it is not directly related to the IVP itself.
D. Taking metformin before breakfast is concerning because metformin should generally be withheld prior to IV contrast studies due to the risk of lactic acidosis, especially if renal function is compromised.