Answer to Question 1
Correct Answer: 1,2,3,4
Rationale 1: The client should be instructed to begin any new exercise routine or increase in exercise gradually.
Rationale 2: The client should be instructed to exercise an hour after a meal.
Rationale 3: The client should be instructed to exercise after a 10- to 15-gram carbohydrate snack.
Rationale 4: The client should be instructed to have small frequent carbohydrate snacks every 30 minutes during exercise to maintain the blood sugar level.
Rationale 5: The nurse should not instruct the client to alter the routine insulin dose according to the exercise schedule.
Global Rationale: The client should be instructed to begin any new exercise routine or increase in exercise gradually. Exercising an hour after a meal or a 10 to 15 gram carbohydrate snack will help support blood glucose. The client should have small frequent carbohydrate snacks during exercise. The nurse should not instruct the client to alter the routine insulin dose according to the exercise schedule.
Answer to Question 2
Correct Answer: 1,2,3
Rationale 1: Treatment of diabetic ketoacidosis includes fluid replacement therapy.
Rationale 2: Treatment of diabetic ketoacidosis includes a loading dose of intravenous insulin therapy.
Rationale 3: Treatment of diabetic ketoacidosis includes electrolyte replacements.
Rationale 4: Intravenous antibiotics are not a routine part of treatment for the client with diabetic ketoacidosis.
Rationale 5: Nebulized bronchodilators are not a routine part of treatment for the client with diabetic ketoacidosis.
Global Rationale: Treatment for DKA includes fluid replacement, administration of intravenous insulin, and electrolyte management. Antibiotics and bronchodilators are not routine parts of this treatment.