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 A
Explanation
Rationale:
A. Checking the client's blood glucose level is the priority action to assess the current state of the client's blood glucose after administering the incorrect dose of insulin, which is essential for determining if further intervention is needed.
B. While giving carbohydrates might be necessary if the blood glucose level is low, checking the blood glucose first will provide the necessary information for the next steps.
C. Notifying the nurse manager is important, but it should not take precedence over assessing the client's current condition.
D. Completing an incident report is a required administrative task, but the immediate concern is the client's safety and well-being, which necessitates checking their blood glucose first.
Correct Answer is A
Explanation
Rationale:
A. Cushing syndrome is characterized by central obesity (excess adipose tissue in the trunk), slender extremities, a moon-shaped face, and other features like a buffalo hump. This is due to prolonged exposure to elevated cortisol levels.
B. High levels of potassium and low levels of sodium are not associated with Cushing syndrome, which typically presents with hypokalemia and hypernatremia.
C. Wasting of the abdomen is not a feature of Cushing syndrome. The skin may become fragile, but it is not typically calloused.
D. Edema is not a primary feature; rather, fat redistribution to the trunk and face is more common.