A nurse is planning care for a post-term infant who has hypoglycemia and is receiving IV dextrose solution.
Which of the following interventions should the nurse include in the plan?
Monitor blood glucose levels every hour until stable.
Administer glucagon subcutaneously as prescribed.
Discontinue IV dextrose when blood glucose reaches 60 mg/dL.
Feed breast milk or formula every four hours.
The Correct Answer is A
This is because hypoglycemia in newborns can cause seizures, brain damage, and developmental delays, and frequent monitoring can help detect and correct low blood glucose levels promptly.
Some additional information about the other choices are:
Choice B. Administer glucagon subcutaneously as prescribed. This is wrong because glucagon is used to treat hypoglycemia caused by hyperinsulinism, which is a rare condition in newborns. Most cases of hypoglycemia in term infants are due to transient factors such as delayed feeding, maternal diabetes, or perinatal stress.
Choice C. Discontinue IV dextrose when blood glucose reaches 60 mg/dL. This is wrong because 60 mg/dL is still below the normal range of blood glucose for newborns, which is 70 to 100 mg/dL. Discontinuing IV dextrose too early can cause rebound hypoglycemia and increase the risk of neurologic complications.
Choice D. Feed breast milk or formula every four hours. This is wrong because feeding every four hours may not be enough to maintain adequate blood glucose levels in newborns with hypoglycemia. Infants with hypoglycemia should be fed more frequently, such as every two to three hours, or on demand. Breast milk or formula can also be supplemented with IV dextrose if needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is because hypoglycemia in newborns can cause seizures, brain damage, and developmental delays, and frequent monitoring can help detect and correct low blood glucose levels promptly.
Some additional information about the other choices are:
Choice B. Administer glucagon subcutaneously as prescribed.This is wrong because glucagon is used to treat hypoglycemia caused by hyperinsulinism, which is a rare condition in newborns.Most cases of hypoglycemia in term infants are due to transient factors such as delayed feeding, maternal diabetes, or perinatal stress.
Choice C. Discontinue IV dextrose when blood glucose reaches 60 mg/dL.This is wrong because 60 mg/dL is still below the normal range of blood glucose for newborns, which is 70 to 100 mg/dL.Discontinuing IV dextrose too early can cause rebound hypoglycemia and increase the risk of neurologic complications.
Choice D. Feed breast milk or formula every four hours.This is wrong because feeding every four hours may not be enough to maintain adequate blood glucose levels in newborns with hypoglycemia.Infants with hypoglycemia should be fed more frequently, such as every two to three hours, or on demand.Breast milk or formula can also be supplemented with IV dextrose if needed.
Correct Answer is C
Explanation
Corn tortillas.
Celiac disease is a condition that causes damage to the small intestine when gluten is ingested.
Gluten is a protein found in wheat, barley, rye and oats.
Corn tortillas are made from corn flour, which does not contain gluten and is safe for people with celiac disease.
Choice A is wrong because whole wheat bread contains gluten, which can trigger an immune response and damage the small intestine in people with celiac disease.
Choice B is wrong because oatmeal cookies also contain gluten, either from the oats themselves or from cross-contamination with other grains.
Choice D is wrong because barley soup contains barley, which is another source of gluten that can harm people with celiac disease.
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