Before administering a scheduled dose of insulin to a 10-year-old child who is learning diabetic self-care, which information is most important for the practical nurse (PN) to ask the child?

Did the child perform a fingerstick?

How much did the child exercise today?

When did the child last urinate?

Has the child eaten recently?

Answer and Explanation

The Correct Answer is A

A. Checking the child’s blood glucose level via fingerstick is the most important step before administering insulin to prevent hypoglycemia or ensure the appropriate dose.
B. Exercise affects blood sugar, but the immediate priority is verifying the blood glucose level.
C. Urination patterns can indicate hyperglycemia, but they are not the most critical factor before insulin administration.
D. Eating is important, but insulin dosing should be based on blood glucose readings and meal intake combined.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Based on the laboratory data, the client has:

Option 1: Pre-diabetes

Option 2: Impaired glucose tolerance

The client's fasting blood glucose level of 122 mg/dL (6.8 mmol/L) falls within the range of 100 to 125 mg/dL (5.56 to 6.9 mmol/L), indicating impaired glucose tolerance. This suggests that the client's blood sugar levels are higher than normal but not high enough to be classified as diabetes mellitus.

Impaired glucose tolerance is considered a precursor to diabetes and indicates an increased risk of developing diabetes in the future. It is important for the practical nurse to educate the client about lifestyle modifications to manage blood sugar levels and prevent the progression to diabetes.

A. An older client whose blood pressure (BP) is 100/70 after receiving meperidine for pain related to a hip fracture. B. A client who has pink urine draining from the indwelling urinary catheter following transurethral prostatectomy. C. A client who is having bright red drainage from the rectum following a colonoscopy with polyp removal. D. A client who has brown-green bile draining from a T-tube after cholecystectomy for cholelithiasis.

Correct Answer is C

Explanation

The client finding that necessitates immediate attention by the practical nurse (PN) is a client who is having bright red drainage from the rectum following a colonoscopy with polyp removal. Bright red rectal bleeding can indicate active bleeding and immediate intervention is required to assess the severity of the bleeding, control the bleeding if possible, and prevent further complications.
A. The older client with a blood pressure of 100/70 after receiving meperidine for pain may require further assessment, but it does not indicate an immediate life-threatening condition.
B. Pink urine draining from the indwelling urinary catheter following a transurethral prostatectomy may be expected due to the surgical procedure, but it should still be monitored.
D. Brown-green bile draining from a T-tube after cholecystectomy for cholelithiasis is also an expected finding.

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Before administering a scheduled dose of insulin to a 10-year-old child who is learning diabetic self-care, which information is most important for the practical nurse (PN) to ask the child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Drag from word choices to complete the sentence. Based on the laboratory data, the client has related to

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

After the change-of-shift report, the practical nurse (PN) makes rounds on a postoperative unit. Which client finding necessitates the Immediate attention of the PN?

Correct Answer is C

Explanation

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