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Questions and Answers
What instruction would the school nurse provide to prevent hypoglycemia during soccer practice?
What instruction would the school nurse provide to prevent hypoglycemia during soccer practice?
- Avoid eating for 2 hours before soccer practice
- Eat twice the amount normally eaten at lunchtime
- Eat a small box of raisins or drink a cup of orange juice before soccer practice (correct)
- Take half the amount of prescribed insulin on practice days
What action should the nurse instruct the parents to take when the child's urine is positive for ketones?
What action should the nurse instruct the parents to take when the child's urine is positive for ketones?
- Call 911 immediately
- Administer an additional dose of regular insulin
- Encourage the child to drink liquids (correct)
- Hold the next dose of insulin
What is the priority assessment before administering the IV solution to a child with hypotonic dehydration?
What is the priority assessment before administering the IV solution to a child with hypotonic dehydration?
- Takes the blood pressure
- Takes the temperature
- Obtains a weight (correct)
- Checks the level of consciousness
What assessment findings would the nurse expect to note in an adolescent client with diabetic ketoacidosis?
What assessment findings would the nurse expect to note in an adolescent client with diabetic ketoacidosis?
Why would the nurse instruct the parents to encourage the child to drink liquids when the child's urine is positive for ketones?
Why would the nurse instruct the parents to encourage the child to drink liquids when the child's urine is positive for ketones?
What is the primary goal of administering an IV solution of 5% dextrose and half-normal saline to a child with hypotonic dehydration?
What is the primary goal of administering an IV solution of 5% dextrose and half-normal saline to a child with hypotonic dehydration?
A nurse is assessing a child with type 1 diabetes mellitus and notes the presence of fruity breath odor, decreasing level of consciousness, and cold, clammy skin. What diagnosis can be inferred?
A nurse is assessing a child with type 1 diabetes mellitus and notes the presence of fruity breath odor, decreasing level of consciousness, and cold, clammy skin. What diagnosis can be inferred?
A nurse reviews the result of a phenylketonuria rescreening blood test for a 2-week-old infant, which indicates a serum phenylalanine level of 1 mg/dL (60.5 mcmol/L). What interpretation can be made?
A nurse reviews the result of a phenylketonuria rescreening blood test for a 2-week-old infant, which indicates a serum phenylalanine level of 1 mg/dL (60.5 mcmol/L). What interpretation can be made?
A nurse is planning care for a child with a temperature of 102° F (38.8° C) who has just received ibuprofen. What action should the nurse take?
A nurse is planning care for a child with a temperature of 102° F (38.8° C) who has just received ibuprofen. What action should the nurse take?
A nurse is assessing a child with a fluid volume deficit. What finding indicates that the deficit is resolving?
A nurse is assessing a child with a fluid volume deficit. What finding indicates that the deficit is resolving?
A nurse is preparing to administer an intravenous (IV) infusion to a child with diabetic ketoacidosis. What type of infusion should the nurse prepare?
A nurse is preparing to administer an intravenous (IV) infusion to a child with diabetic ketoacidosis. What type of infusion should the nurse prepare?
A nurse is assessing a child with hypoglycemia. What symptoms may the child exhibit?
A nurse is assessing a child with hypoglycemia. What symptoms may the child exhibit?
What is the primary concern when administering potassium chloride intravenously to a patient with hypotonic dehydration?
What is the primary concern when administering potassium chloride intravenously to a patient with hypotonic dehydration?
Which of the following signs is NOT associated with diabetic ketoacidosis?
Which of the following signs is NOT associated with diabetic ketoacidosis?
Why is hydration essential in managing diabetic ketoacidosis?
Why is hydration essential in managing diabetic ketoacidosis?
What is the primary difference between hypotonic dehydration and diabetic ketoacidosis?
What is the primary difference between hypotonic dehydration and diabetic ketoacidosis?
Which of the following assessments is NOT related to the administration of potassium chloride?
Which of the following assessments is NOT related to the administration of potassium chloride?
What is the characteristic breath odor associated with diabetic ketoacidosis?
What is the characteristic breath odor associated with diabetic ketoacidosis?
What is the characteristic blood phenylalanine level in individuals with phenylketonuria?
What is the characteristic blood phenylalanine level in individuals with phenylketonuria?
What is the primary goal of administering normal saline in the treatment of diabetic ketoacidosis?
What is the primary goal of administering normal saline in the treatment of diabetic ketoacidosis?
Why is aspirin not administered to a child with fever?
Why is aspirin not administered to a child with fever?
What is the primary reason for testing for urinary ketones in a child with type 1 diabetes mellitus?
What is the primary reason for testing for urinary ketones in a child with type 1 diabetes mellitus?
What is the normal blood phenylalanine level?
What is the normal blood phenylalanine level?
What is the first step in treating a child with fever after administering ibuprofen?
What is the first step in treating a child with fever after administering ibuprofen?
What is the recommended snack size to prevent hypoglycemia in a child with type 1 diabetes mellitus?
What is the recommended snack size to prevent hypoglycemia in a child with type 1 diabetes mellitus?
What is the blood glucose level that is considered hypoglycemic?
What is the blood glucose level that is considered hypoglycemic?
What is the primary complication of diabetes mellitus being discussed?
What is the primary complication of diabetes mellitus being discussed?
When should a child with type 1 diabetes mellitus eat an extra snack to prevent hypoglycemia?
When should a child with type 1 diabetes mellitus eat an extra snack to prevent hypoglycemia?
What would be an appropriateFluid intake for a child with type 1 diabetes mellitus who is sick?
What would be an appropriateFluid intake for a child with type 1 diabetes mellitus who is sick?
What would not be done when a child with type 1 diabetes mellitus has a blood glucose level of 60 mg/dL (3.4 mmol/L)?
What would not be done when a child with type 1 diabetes mellitus has a blood glucose level of 60 mg/dL (3.4 mmol/L)?
What instruction would the school nurse provide to a child with type 1 diabetes mellitus to prevent hypoglycemia during soccer practice?
What instruction would the school nurse provide to a child with type 1 diabetes mellitus to prevent hypoglycemia during soccer practice?
What action would the nurse instruct the parents to take when the child's urine is positive for ketones?
What action would the nurse instruct the parents to take when the child's urine is positive for ketones?
What is the primary goal of administering an IV solution of 5% dextrose and half-normal saline to a child with hypotonic dehydration?
What is the primary goal of administering an IV solution of 5% dextrose and half-normal saline to a child with hypotonic dehydration?
What assessment finding would the nurse expect to note in an adolescent client with diabetic ketoacidosis?
What assessment finding would the nurse expect to note in an adolescent client with diabetic ketoacidosis?
What is the priority assessment before administering the IV solution to a child with hypotonic dehydration?
What is the priority assessment before administering the IV solution to a child with hypotonic dehydration?
What would the nurse instruct the parents to do when the child's urine is positive for ketones and the child is sick?
What would the nurse instruct the parents to do when the child's urine is positive for ketones and the child is sick?
A parent brings a 2-week-old infant to a clinic for a phenylketonuria rescreening blood test. What can be concluded about the test result of 1 mg/dL (60.5 mcmol/L) serum phenylalanine level?
A parent brings a 2-week-old infant to a clinic for a phenylketonuria rescreening blood test. What can be concluded about the test result of 1 mg/dL (60.5 mcmol/L) serum phenylalanine level?
What type of intravenous (IV) infusion would the nurse prepare for a child with diabetic ketoacidosis?
What type of intravenous (IV) infusion would the nurse prepare for a child with diabetic ketoacidosis?
A child with type 1 diabetes mellitus is brought to the emergency department with symptoms of abdominal pain and lethargy. What diagnosis can be inferred?
A child with type 1 diabetes mellitus is brought to the emergency department with symptoms of abdominal pain and lethargy. What diagnosis can be inferred?
What action should the nurse take after administering ibuprofen to a child with a temperature of 102° F (38.8° C)?
What action should the nurse take after administering ibuprofen to a child with a temperature of 102° F (38.8° C)?
What finding indicates that a child's fluid volume deficit is resolving?
What finding indicates that a child's fluid volume deficit is resolving?
What is the primary goal of administering an IV solution of 5% dextrose and half-normal saline to a child with hypotonic dehydration?
What is the primary goal of administering an IV solution of 5% dextrose and half-normal saline to a child with hypotonic dehydration?
What is the primary goal of giving the child a snack before activities like soccer practice?
What is the primary goal of giving the child a snack before activities like soccer practice?
What is the primary reason for testing the child's urine for ketones?
What is the primary reason for testing the child's urine for ketones?
What is the recommended action when the child's blood glucose level is 60 mg/dL (3.4 mmol/L)?
What is the recommended action when the child's blood glucose level is 60 mg/dL (3.4 mmol/L)?
What is the primary benefit of encouraging the child to drink liquids when the child's urine is positive for ketones?
What is the primary benefit of encouraging the child to drink liquids when the child's urine is positive for ketones?
What is the primary reason for not adjusting the amount or time of insulin administration when the child is sick?
What is the primary reason for not adjusting the amount or time of insulin administration when the child is sick?
What is the primary goal of providing a snack of 15 to 30 g of carbohydrates when the child is participating in activities like soccer practice?
What is the primary goal of providing a snack of 15 to 30 g of carbohydrates when the child is participating in activities like soccer practice?
What is the primary reason for rehydration in the treatment of diabetic ketoacidosis?
What is the primary reason for rehydration in the treatment of diabetic ketoacidosis?
What is the rationale for not administering aspirin to a child with fever?
What is the rationale for not administering aspirin to a child with fever?
What is the characteristic blood phenylalanine level in individuals with phenylketonuria?
What is the characteristic blood phenylalanine level in individuals with phenylketonuria?
What is the primary goal of administering NPH insulin in the treatment of diabetic ketoacidosis?
What is the primary goal of administering NPH insulin in the treatment of diabetic ketoacidosis?
What is the rationale for encouraging fluid intake in a child with type 1 diabetes mellitus who is sick?
What is the rationale for encouraging fluid intake in a child with type 1 diabetes mellitus who is sick?
What is the interpretation of a serum phenylalanine level of 1 mg/dL (60.5 mcmol/L) in a 2-week-old infant?
What is the interpretation of a serum phenylalanine level of 1 mg/dL (60.5 mcmol/L) in a 2-week-old infant?
What is the primary indication that a fluid volume deficit is resolving in a child?
What is the primary indication that a fluid volume deficit is resolving in a child?
What is the definition of hypoglycemia?
What is the definition of hypoglycemia?
What should be administered orally to a child with hypoglycemia?
What should be administered orally to a child with hypoglycemia?
What should be done if the child remains unconscious after administering glucose?
What should be done if the child remains unconscious after administering glucose?
Why is an extra snack given to a child with type 1 diabetes mellitus?
Why is an extra snack given to a child with type 1 diabetes mellitus?
What is the purpose of retesting the blood glucose level 15 minutes after administering glucose?
What is the purpose of retesting the blood glucose level 15 minutes after administering glucose?
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