The nurse is helping a new diabetic child pick breakfast from the ...

[SGallaher96]

The nurse is helping a new diabetic child pick breakfast from the menu. Which selection would require the nurse to reinforce dietary teaching for this child?
 
  A.
  Egg, bacon, whole-wheat toast
  B.
  Cinnamon roll and juice
  C.
  Oatmeal, almonds, artificial sweetener
  D.
  Pancakes with sugar-free maple syrup

Question 2

An adolescent with type 1 diabetes mellitus is hospitalized for the third time in 1 year with an infection. Which laboratory value would provide the nurse the most important information?
 
  A.
  Albumen: 4 g/dL
  B.
  Fasting blood sugar: 99 mg/dL
  C.
  Hemoglobin A1C: 9.8
  D.
  White blood count: 15,000/mm3

[LegendaryAnswers]

Answer to Question 1

ANS: B
Although no food is off limits, the child with diabetes does need to learn the typical diet plan: 40-50 carbohydrates (complex is better than simple), 20-30 fats, and 15-20 protein. The first meal is appropriate. The oatmeal is a carbohydrate, but the nuts give some protein and some fat. The pancakes with sugar-free syrup are alright if the child adds a protein. The cinnamon roll and juice are all simple carbohydrates, and this selection shows the child needs further instruction.

Answer to Question 2

ANS: C
A diabetic adolescent with many infections should be assessed for noncompliance. The hemoglobin A1C is the average blood glucose over the last 3 months and will be helpful to determine how the teen's blood glucose has been controlled over time, thus giving information about compliance. The albumen is normal. The fasting blood sugar is normal and, while in the hospital, is not surprising. The WBC is high, indicating infection.