A client who has type 1 diabetes mellitus asks a nurse about beginning an exercise regimen.

Which of the following instructions should the nurse include?

Exercise when insulin is at its peak action.

Avoid protein before exercising.

Inject additional insulin before exercising.

Eat a piece of fruit before exercising.

Answer and Explanation

The Correct Answer is D

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Correct Answer is C

Explanation

A.Suction should not be applied while inserting the catheter, as it could cause trauma to the mucosa and increase discomfort. Suction should only be applied while withdrawing the catheter, and it should be done intermittently to avoid injury and reduce the risk of hypoxia.

B.Suctioning should not exceed 10-15 seconds at a time to prevent hypoxia and other complications. Prolonged suctioning can lead to oxygen depletion and potential respiratory distress in the client.

C.Waiting at least 1 minute between suctioning attempts allows the client to recover and helps maintain adequate oxygenation. This pause is essential to prevent hypoxia and to ensure the client has time to breathe normally before the next suctioning attempt.

D.In adults insert catheter approximately 16 cm (6.5 inches); in older children, 8– 12 cm (3–5 inches); in infants and young children, 4–7.5 cm (1.5–3 inches). Rule of thumb is to insert catheter distance from tip of nose (or mouth) to angle of mandible.

A. "I have a difficult time getting my child to eat green vegetables" B. "My child continually asks me the same questions" C. "My child still wets the bed at least two times per week" D. "I have noticed that my child has been withdrawn since we switched daycare providers."

Correct Answer is D

Explanation

The priority is to address any significant changes in the child's behavior, such as withdrawal, as it may indicate emotional or psychological distress. Switching daycare providers can be a significant event for a young child, and it is essential to explore the reasons behind the child's withdrawal and address any potential underlying issues. The nurse should gather more information, assess the child's emotional well-being, and discuss any concerns or observations with the guardian. This will help identify appropriate interventions or support for the child's emotional adjustment.

While the other statements may also warrant attention, the potential emotional impact of the daycare provider change on the child's behavior and well-being takes priority in this case. The nurse should address the other concerns raised by the guardian during the assessment process, but the immediate focus should be on addressing the child's withdrawal and ensuring their emotional well-being.

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A client who has type 1 diabetes mellitus asks a nurse about beginning an exercise regimen. Which of the following instructions should the nurse include?

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A client who has type 1 diabetes mellitus asks a nurse about beginning an exercise regimen.

Which of the following instructions should the nurse include?