A nurse is caring for a preschooler who has diabetes mellitus and is pale, diaphoretic, and irritable. The child's blood glucose level is 52 mg/dL. Which of the following actions should the nurse take first?
Give 1 tsp of peanut butter to the child.
Recheck the child's blood glucose level.
Administer 1 tbsp of sugar to the child.
Document the incident in the child's record.
The Correct Answer is C
Rationale:
A) Peanut butter is not a rapidly absorbed source of glucose and may not be appropriate for treating hypoglycemia.
B) While rechecking the child's blood glucose level is important, immediate treatment should be initiated for symptomatic hypoglycemia.
C) Administering a rapidly absorbed source of sugar, such as 1 tablespoon of sugar or honey, is the priority intervention for treating hypoglycemia in a conscious child.
D) Documenting the incident is important but should not delay the administration of treatment for hypoglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A) This indicates a misunderstanding or lack of awareness regarding postoperative mobility expectations.
B) Beginning range-of-motion exercises on the first postoperative day indicates an understanding of the importance of early mobilization for recovery.
C) This may or may not be accurate depending on the individual's recovery progress, but it does not specifically demonstrate understanding of the teaching.
D) This indicates awareness of postoperative care but does not specifically address the immediate postoperative period.
Correct Answer is D
Explanation
Rationale:
A) Placing the child in a forward-facing car seat before the appropriate age and size increases the risk of injury.
B) Placing the child in the front seat, even in a rear-facing car seat, is not recommended due to the risk of airbag deployment.
C) Booster seats are used for older children who have outgrown their forward-facing car seats, but are not yet big enough to use the seat belt properly. Booster seats should be used until the child is at least 4 feet 9 inches tall and between 8 and 12 years old.
D) Placing the child in a rear-facing car seat until age 2 is recommended by safety guidelines to provide optimal protection for the child's head, neck, and spine.
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