A newly diagnosed 8-year-old child with type I diabetes mellitus and his mother are receiving diabetes education prior to discharge. The physician has prescribed Glucagon for emergency use. The mother asks the purpose of this medication. Which of the following statements by the nurse is correct?
Glucagon prolongs the effect of insulin, allowing fewer injections.
Glucagon treats lipoatrophy from insulin injections.
Glucagon enhances the effect of insulin in case the blood sugar remains high one hour after injection.
Glucagon treats hypoglycemia resulting from insulin overdose.
The Correct Answer is D
A. Glucagon actually counteracts the effects of insulin by raising blood sugar levels.
B. Lipoatrophy is a condition where fat tissue breaks down at injection sites. Glucagon does not treat this condition.
C. This is also incorrect. Glucagon has the opposite effect of insulin, lowering blood sugar levels.
D. Glucagon is a hormone that stimulates the liver to release glucose into the bloodstream, making it effective in treating severe hypoglycemia (low blood sugar) that can occur due to an insulin overdose.
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Related Questions
Correct Answer is C
Explanation
A. Cephalosporins are a class of antibiotics that can, in some cases, cause liver enzyme elevations and hepatotoxicity. While not all cephalosporins are associated with significant liver toxicity, there have been reports of liver dysfunction with some members of this class.
B. Sulfonamides can also cause hepatotoxicity, particularly in certain individuals. They are known to occasionally lead to liver enzyme elevations and even more severe liver damage in susceptible patients.
C. Penicillins are generally considered safe regarding hepatotoxicity; however, there can be rare instances of liver enzyme elevation associated with some penicillin derivatives, particularly in cases of prolonged use or in patients with existing liver disease. Nonetheless, they are not commonly associated with significant hepatotoxicity.
D. Fluoroquinolones can cause liver toxicity, although it is relatively rare. Some fluoroquinolones have been associated with elevated liver enzymes and other hepatic issues.
Correct Answer is B
Explanation
A. The area should be cleansed gently before applying the cream to remove any irritants and allow for better absorption of the medication. Proper cleansing can help enhance the effectiveness of the corticosteroid.
B. Topical corticosteroids should be applied in a thin layer to the affected area and gently rubbed in. Applying too much can increase the risk of side effects, and a thin application ensures better absorption without overwhelming the skin.
C. The corticosteroid should be applied only to the affected areas of the skin, not the entire body. Overuse can lead to systemic absorption and potential side effects, particularly in children, whose skin is more permeable.
D. While it is important to cover the affected areas, applying a thick layer is not recommended. A thin layer is usually sufficient and minimizes the risk of side effects from excessive corticosteroid use.
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