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

None

Answer and Explanation

The Correct Answer is A

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

A. Wearing closed-toed shoes daily is important for foot protection but does not address the root cause of diabetic complications.
B. Annual eye examinations are essential, but they are part of a broader strategy for monitoring and preventing complications rather than the most critical preventive measure.
C. Examining feet daily can help detect injuries or complications early, but it does not prevent the underlying issues associated with diabetes.
D. Maintaining stable blood glucose levels is the most important action because it directly impacts the risk of developing complications such as retinopathy and neuropathy. Good glycemic control helps prevent the progression of these conditions.

A. Abruptly withdrawing cortisone therapy B. Poorly functioning adrenal glands C. Lacking ACTH, related to the pituitary gland D. Taking corticosteroids for many years

Correct Answer is D

Explanation

A. Abruptly withdrawing corticosteroid therapy can lead to adrenal insufficiency, not Cushing syndrome.
B. Poorly functioning adrenal glands cause Addison’s disease, not Cushing syndrome.
C. Lacking ACTH leads to secondary adrenal insufficiency, not Cushing syndrome.
D. Taking corticosteroids for many years can result in exogenous Cushing syndrome due to prolonged exposure to high cortisol levels, which mimic the effects of endogenous Cushing syndrome.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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