Question

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Could you please help me to answer these question.

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60 A 15-year-old male client was recently diagnosed with insulin-dependent diabetes mellitus CIDDM). He tells the nurse that he is having difficulty adhering to his diabetic meal plan when he is with his friends. What nursing intervention is best for the nurse to implement? OB Encourage him to find activities to do with his friends that do not involve eating. Advise him to take his own food with him when going to fast food restaurants with his friends. Assist him in identifying popular fast foods that are within his diabetic meal plan. Recommend that he avoid fast food restaurants until he is familiar with his prescribed diet.

Answer 1

1) The correct option would be option C ( Assist in identifying popular fast foods that are within diabetic meal plan). Because there are many fast foods that are high in protein and less in sugar. examples chicken salad, protein bowls. tacos with chicken etc. option A is incorrect as he might feel hungry when he is with his friends and if dont take food for long he might have hypoglycemia. option B is incorrect as some restaurants does not allow to take outside food into the restaurant. option D is incorrect as fast foods restaurants are everywhere and restricting not to go there can affect his mental health that leads to futher craving of fast foods.

2)The correct option would be option C and option D we should give him time and assurance to arise slowly from the chair.and demonstrate to the U.A.P on how to help the client. This would help the U.A.P to assist the client better even at home. option A would be incorrect as getting assistance from U.A.P would be the second step that is if the client fails to do so. option B would be incorrect as there is no indication of analgesic.

3)The correct answer is  ALL (A,B,C AND D)as the nurse has to confirm that she gathered all the necessary supplies before iv insertion  many studies show the use of transparent dressings is more advantageous than gauze. ( it has lower dislodgement rates for PIV catheters and also it can stay upto 7 days) but one can use sterile gauze dressing to cover the iv insertion area. Lastly the nurse has to observe the secured iv site for insertion to confirm that it is ready to use also to look out for swelling and redness.

4) The medication is usually added to the injection port that is attached to the iv bag. To add the medication the fluid that is already infusing then we have to look out for few things how much fluid is left in the bag. If the medication has to be mixed in 1 litre of 5% dextrose water only then you have to use a new saline bag and insert the medication through the injection port agitate the bag a little and start the infusion.