The caregivers of a child just diagnosed with diabetes express concern that they won’t remember the different signs and symptoms of hyperglycemia and hypoglycemia. As a result, they are afraid they won’t handle an emergency correctly. What is the best initial response by the nurse to help ensure the child’s safety?
Repeat the signs and symptoms over and over until they seem to understand.
Instruct them to treat the reaction as if it’s hypoglycemia, since this condition is more likely.
Give the caregivers educational pamphlets and videos about diabetes.
Suggest that the child wear an insulin pump for continuous insulin administration.
The Correct Answer is B
Choice A reason: Repeating symptoms may help but doesn’t provide immediate emergency guidance, risking delay in critical situations. Treating as hypoglycemia ensures rapid response, making this less practical and incorrect compared to a clear action plan for the caregivers’ concerns about diabetes emergencies.
Choice B reason: Instructing to treat unclear reactions as hypoglycemia prioritizes rapid glucose administration, which is safer and more urgent than mistreating hyperglycemia. This aligns with pediatric diabetes emergency protocols, making it the best initial response to ensure the child’s safety in potential crises.
Choice C reason: Providing pamphlets and videos educates long-term but doesn’t address immediate emergency response needs. Treating as hypoglycemia offers clear guidance, making this supplementary and incorrect compared to the urgent action needed to manage the caregivers’ fears about diabetes emergencies.
Choice D reason: Suggesting an insulin pump addresses insulin delivery, not symptom recognition or emergency response. Treating as hypoglycemia ensures safety in crises, making this irrelevant and incorrect compared to the immediate guidance needed for the caregivers’ concerns about handling diabetes emergencies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Infancy is marked by rapid physical and skill development, with milestones like crawling and babbling occurring quickly. This aligns with pediatric developmental assessments, making it the correct characteristic for the nurse to monitor, ensuring infants meet critical growth benchmarks during routine evaluations.
Choice B reason: Insisting on independence with dependence reversion is typical of toddlers, not infants, who lack such autonomy. Rapid skill growth defines infancy, making this incorrect, as it describes a later developmental stage rather than the nurse’s focus for infant growth and development assessments.
Choice C reason: Rapid information intake and questioning “why” and “how” characterize preschoolers, not infants, who lack verbal curiosity. Rapid skill development is the infant focus, making this incorrect, as it applies to older children rather than the nurse’s assessment of infant developmental characteristics.
Choice D reason: Increased attention span is seen in older children, not infants, who have short attention spans. Rapid growth and skill acquisition define infancy, making this incorrect, as it does not reflect the developmental characteristics the nurse should assess in infants during pediatric evaluations.
Correct Answer is A
Explanation
Choice A reason: Rubbing the nose upward and backward, known as the "allergic salute," is a common response in allergic rhinitis to relieve nasal itching and congestion. This action temporarily opens air passages and alleviates discomfort, aligning with pediatric allergy evidence, making it the correct explanation for the child’s behavior observed in clinical settings.
Choice B reason: Drawing attention to the nose is not a typical response in allergic rhinitis. The "allergic salute" is a reflexive action to relieve itching and congestion, not a deliberate attempt to gain attention. This choice misinterprets the physiological basis of the behavior, making it incorrect for the child’s action in the context of allergic rhinitis symptoms.
Choice C reason: Nasal discharge may occur in allergic rhinitis, but rubbing upward and backward aims to relieve itching and open airways, not prevent discharge. This action is not primarily about controlling runny nose, making this choice less accurate compared to addressing the itching and congestion relief central to the child’s behavior.
Choice D reason: Preventing a sneeze is not the purpose of the "allergic salute." Rubbing the nose upward and backward relieves itching and congestion, common in allergic rhinitis. Sneezing is a separate reflex, and this action does not address it, making this incorrect for the child’s observed behavior in the context of allergy symptoms.
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