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Author Question: A patient with type 2 diabetes mellitus has been instructed on an eating plan where 65 of all daily ... (Read 77 times)

burton19126

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A patient with type 2 diabetes mellitus has been instructed on an eating plan where 65 of all daily calories are to be carbohydrates.
 
  The patient's daily caloric intake is to be 1600 calories. If each serving of carbohydrates is 15 grams and each gram is 4 kilocalories, how many servings of carbohydrates should the patient be instructed to consume each day?
  Record your answer rounding to the nearest whole number.

Question 2

The nurse is reviewing the actions that a patient with type 1 diabetes mellitus should take if mild hypoglycemia is experienced. What should the nurse include in this teaching?
 
  Select all that apply.
 
  1. Test blood glucose 30 minutes after reaching 70 mg/dL.
  2. Ingest 4 ounces of fruit juice when blood glucose is below 70 mg/dL.
  3. Measure blood glucose 15 minutes after ingesting a carbohydrate source.
  4. Add table sugar to 8 ounces of fruit juice when blood glucose is below 70 mg/dL.
  5. Ingest additional 15 grams of carbohydrate if blood glucose remains low after 15 minutes.



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krakiolit

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Answer to Question 1

Correct Answer: 17

Answer to Question 2

Correct Answer: 2, 3, 5
When mild hypoglycemia occurs, immediate treatment is necessary. People experiencing hypoglycemia should take about 15 g of a rapid-acting sugar. This amount of sugar is found in 1/2 cup (4 ounces) of fruit juice. After eating a carbohydrate source the patient should wait 15 minutes and then monitor blood glucose level. If the blood glucose remains low after 15 minutes, eat another 15 grams of carbohydrate. Blood glucose should be tested 1 hour after the blood glucose has reached  70 mg/dL because blood glucose levels may start to fall again after 1 hour. Adding sugar to the fruit sugar already in the juice could cause a rapid rise in blood glucose, with persistent hyperglycemia.





 

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