Which general dietary measure should the nurse include in a ...

[sabina]

Which general dietary measure should the nurse include in a teaching plan for the child with type 1 diabetes mellitus?
 
  a. Control intake of carbohydrates and consume fewer calories.
  b. Focus on complex carbohydrates and eat foods high in fiber.
  c. Obtain most calories from proteins and fats.
  d. Eat a diet low in fat and low in complex carbohydrates.

Question 2

A child receives a combination of regular and NPH insulin at 8:00 AM. At 8:45 AM the breakfast trays have not yet arrived from the kitchen. What is the best action by the nurse?
 
  a. Notify the charge nurse.
  b. Give the patient a snack of graham crackers and milk.
  c. Ambulate the patient in the hall for a short time.
  d. Give the patient more insulin according to the sliding scale.

[ally]

Answer to Question 1

ANS: B
The nutritional needs of a child with diabetes mellitus are essentially the same as those of the nondiabetic child, with the exception of the elimination of concentrated carbohydrates such as sugar. Fiber has been shown to reduce blood glucose levels.

Answer to Question 2

ANS: B
A child who receives regular insulin before meals may have an insulin reaction if food is not eaten within 20 minutes. A snack of graham crackers and milk will prevent an episode of hypoglycemia.

[sabina]

TYSM

[mohan]

Excellent