A nurse is collecting data from an adolescent who has diabetes mellitus and is receiving glucagon therapy. Which of the following findings indicates the therapy has been effective?

Increased alertness

Diaphoresis

Blood glucose 50 mg/dL

Urine ketones +3

Answer and Explanation

The Correct Answer is C

Choice A reason:

Increased alertness may be a sign of improved glucose levels, but it is not as direct an indicator as a blood glucose measurement.

Choice B reason:

Diaphoresis is a symptom of low blood glucose levels and indicates the need for intervention rather than effectiveness of therapy.

Choice C reason:

A blood glucose level of 50 mg/dL is within the normal range and indicates that the glucagon therapy has been effective in raising blood glucose levels.

Choice D reason:

The presence of urine ketones indicates that the body is using fats for energy, which may occur in the absence of adequate glucose. This is not an indicator of the effectiveness of glucagon therapy.

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Correct Answer is C

Explanation

Choice A reason:

Connecting a bulb attachment to the syringe is not a standard method for administering a tube feeding and can potentially lead to complications.

Choice B reason:

Heating the formula to body temperature is not typically necessary and can be potentially dangerous if it leads to overheating.

Choice C reason:

Positioning the child with the head of the bed elevated at 15° helps to prevent aspiration during tube feeding.

Choice D reason:

Instilling the feeding based on pH alone is not a sufficient criterion for administration. Other factors, such as radiographic confirmation of tube placement, should also be considered.

A. Sodium 140 mEq/L B. Iron 100 mcg/dL C. Calcium 9 mg/dL D. Hemoglobin 8 g/dL

Correct Answer is D

Explanation

Choice A reason:

A sodium level of 140 mEq/L is within the normal range.

Choice B reason:

An iron level of 100 mcg/dL is within the normal range.

Choice C reason:

A calcium level of 9 mg/dL is within the normal range.

Choice D reason:

Correct. A hemoglobin level of 8 g/dL is lower than the normal range for a preschooler and should be reported to the provider for further evaluation. This may indicate anemia, which requires assessment and potential intervention.

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A nurse is collecting data from an adolescent who has diabetes mellitus and is receiving glucagon therapy. Which of the following findings indicates the therapy has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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