A nurse is caring for a 7-year-old client who has an upper respiratory infection and a history of type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?

"I will report changes in breathing or signs of confusion."

"I will encourage him to drink a half a cup of water or sugar-free fluid every 30 minutes."

"I will notify the doctor if his temperature is not controlled with acetaminophen."

"I will continue to check his blood sugar two times every day."

Answer and Explanation

The Correct Answer is D

A. "I will report changes in breathing or signs of confusion." Correct action as changes in breathing or confusion can indicate diabetic ketoacidosis or other serious complications.
B. "I will encourage him to drink a half a cup of water or sugar-free fluid every 30 minutes."Ensuring adequate fluid intake helps prevent dehydration and helps manage blood sugar levels during illness.
C. "I will notify the doctor if his temperature is not controlled with acetaminophen." Correct action as fever may indicate an infection that needs further medical evaluation and treatment.
D. "I will continue to check his blood sugar two times every day." When a child with diabetes is ill, blood sugar should be monitored more frequently, typically every 3-4 hours, to manage the risk of hyperglycemia or hypoglycemia due to illness.

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Correct Answer is ["3.1"]

Explanation

First, convert the child's weight from pounds to kilograms:

22lb÷2.2=10kg

Calculate the dose:

10kg×10mg/kg=100mg

Next, calculate how many mL of acetaminophen liquid (160 mg/5 mL) is needed for 100 mg:

100mg÷160mg/5ml= 100 ×5/160= 3.125ml

Rounded to the nearest tenth, administer 3.1 mL (since the medication is typically measured in tenths).

A. Change diapers frequently B. Allow the buttocks to air-dry C. Use commercial baby wipes that are free of alcohol and fragrances to cleanse the area D. Apply zinc oxide ointment to the affected area E. Apply talcum powder with every diaper change

Correct Answer is ["A","B","C","D"]

Explanation

A. Change diapers frequently. Frequent diaper changes reduce prolonged contact with moisture, decreasing the risk of dermatitis.
B. Allow the buttocks to air-dry. Air-drying helps to keep the skin dry and allows it to heal, preventing further irritation.
C. Use commercial baby wipes that are free of alcohol and fragrances to cleanse the area. Alcohol and fragrance-free wipes minimize further irritation to the sensitive skin.
D. Apply zinc oxide ointment to the affected area. Zinc oxide creates a protective barrier that helps heal and protect the skin from moisture and irritants.
E. Apply talcum powder with every diaper change. Talcum powder is not recommended as it can be inhaled by the infant and may cause respiratory issues.

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A nurse is caring for a 7-year-old client who has an upper respiratory infection and a history of type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["3.1"]

Explanation

A nurse is assisting with admitting an infant who has diaper dermatitis. Which of the following actions should the nurse plan to take? (Select All that Apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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