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As the nurse you are explaining the treatment plan to an adolescent for their newly diagnosed Type 2 Diabetes. Which treatment options below are appropriate for Type 2 Diabetes? Select FOUR that apply

Metformin twice a day, taken with food to prevent Gl upset

Long acting lantus before bed to control blood sugar overnight

Rapid Acting Insulin dosed using a sliding scale before every meal

Consistent aerobic exercise every day with a goal of 60 minutes per day.

Regular blood sugar monitoring throughout the day

Use of a continuous subcutaneous insulin pump to control blood sugar.

Well balanced diet and monitoring simple sugar intake

Answer and Explanation

Correct Answer : A,D,E,G

Rationale:

A. Metformin twice a day, taken with food to prevent GI upset: Metformin is the first-line medication for Type 2 Diabetes and helps improve insulin sensitivity. Taking it with food reduces gastrointestinal side effects, making this a key part of treatment.

B. Long acting lantus before bed to control blood sugar overnight: While insulin may be necessary in some Type 2 Diabetes cases, especially with significant hyperglycemia, it is not typically the initial treatment for newly diagnosed adolescents. It is more common in Type 1 Diabetes or advanced Type 2.

C. Rapid Acting Insulin dosed using a sliding scale before every meal: Sliding scale insulin is generally reserved for Type 1 Diabetes or severe cases of Type 2 Diabetes with uncontrolled glucose. It is not the standard initial treatment in newly diagnosed Type 2 adolescents.

D. Consistent aerobic exercise every day with a goal of 60 minutes per day: Regular physical activity is essential in managing Type 2 Diabetes as it improves insulin sensitivity and aids in weight management.

E. Regular blood sugar monitoring throughout the day: Monitoring blood glucose levels helps track the effectiveness of treatment and guides lifestyle or medication adjustments in Type 2 Diabetes management.

F. Use of a continuous subcutaneous insulin pump to control blood sugar: Insulin pumps are typically used for Type 1 Diabetes. Their use in Type 2 Diabetes is rare and usually reserved for specific cases, not standard treatment.

G. Well balanced diet and monitoring simple sugar intake: Dietary management focusing on balanced nutrition and limiting simple sugars is fundamental in controlling Type 2 Diabetes and preventing glucose spikes.

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Correct Answer is ["12.5"]

Explanation

Calculation:

Desired dose = 400 mg.

Available concentration = 325 mg per 10.15 mL.

Calculate the volume to administer in milliliters (mL).

Volume (mL) = Desired dose (mg) / (Available amount (mg) / Available volume (mL))

= 400 mg / (325 mg / 10.15 mL)

= 400 mg / 32.02 mg/mL

= 12.492 mL.

Round to the nearest tenth

= 12.5 mL.

A. Right leg pain B. RLQ abdominal pain 7/10 C. Negative Brudzinski's D. Severe Headache E. Vomiting F. Photophobia

Correct Answer is ["D","E","F"]

Explanation

Rationale:

A. Right leg pain: Right leg pain is not typically related to bacterial meningitis. It is more commonly associated with musculoskeletal or neurological issues localized to the limb and does not contribute to the diagnosis of meningitis.

B. RLQ abdominal pain 7/10: Right lower quadrant abdominal pain is usually linked to gastrointestinal conditions such as appendicitis or other abdominal pathologies. This symptom does not correlate with the systemic or neurological symptoms seen in meningitis.

C. Negative Brudzinski's: A negative Brudzinski’s sign indicates the absence of meningeal irritation. Since meningeal inflammation is a key feature of bacterial meningitis, a negative sign makes the diagnosis less likely.

D. Severe Headache: Severe headache is a classic symptom of bacterial meningitis caused by inflammation of the meninges and increased intracranial pressure. This symptom often accompanies fever and neck stiffness, signaling central nervous system involvement.

E. Vomiting: Vomiting occurs in meningitis due to increased intracranial pressure and systemic illness. It is a common nonspecific symptom reflecting the severity of the infection and the body’s response to it.

F. Photophobia: Photophobia, or sensitivity to light, results from meningeal irritation in meningitis. It is a hallmark sign and frequently accompanies headache and neck stiffness in affected patients.

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As the nurse you are explaining the treatment plan to an adolescent for their newly diagnosed Type 2 Diabetes. Which treatment options below are appropriate for Type 2 Diabetes? Select FOUR that apply

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Naxlex Comprehensive Predictor Exams

The child is prescribed Acetaminophen 400mg PO q4h for 24 hours for fever. They weigh 60 pounds. Safe dose range: Acetaminophen 10-15 mg/kg/dase PO q4-6h. Available Concentration: 325 mg per 10.15 mLs How many mLs will the nurse administer q4 hours? Round your answer to the nearest tenth

Correct Answer is ["12.5"]

Explanation

Correct Answer is ["D","E","F"]

Explanation

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