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 C
Explanation
Rationale:
A. Clammy skin is associated with hypoglycemia, not diabetic ketoacidosis (DKA).
B. A rapid pulse can be present in DKA, but it is not a definitive indicator of the condition.
C. Polydipsia (excessive thirst) is a hallmark symptom of DKA, as the body tries to compensate for the severe dehydration caused by hyperglycemia and osmotic diuresis.
D. Confusion can occur in DKA, but it is usually a later sign when the condition becomes severe and metabolic acidosis worsens.
Correct Answer is D
Explanation
Rationale:
A. Dorsal recumbent is not an ideal position after a thyroidectomy due to the risk of airway obstruction.
B. Supine position does not provide optimal airway protection post-surgery.
C. Sims' position is not recommended for clients recovering from a thyroidectomy as it could affect breathing and circulation.
D. Fowler’s position (head of the bed elevated 45 to 90 degrees) is the best position post-thyroidectomy to reduce tension on the suture line and to facilitate breathing by decreasing swelling around the surgical site.