The nurse is caring for a hospitalized child newly diagnosed with type 1 diabetes mellitus. At 1100, the child suddenly complains of weakness, headache, and blurred vision. How would the nurse respond?
Give the child 1⁄2 cup of orange juice to drink.
Call the dietary department and ask that the lunch tray be delivered early.
Contact the physician.
Obtain a blood glucose reading
The Correct Answer is A
A. Give the child 1⁄2 cup of orange juice to drink. These symptoms indicate hypoglycemia, a common early complication of diabetes treatment. Orange juice contains quick-acting sugars that can rapidly raise blood glucose levels and alleviate symptoms. This is the immediate action to manage the child's symptoms.
B. Call the dietary department and ask that the lunch tray be delivered early. Delayed action compared to treating the immediate hypoglycemia.
C. Contact the physician. While eventually necessary, immediate treatment of hypoglycemia takes precedence.
D. Obtain a blood glucose reading. Important to confirm hypoglycemia but not as urgent as providing immediate treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Evaluate the child's self-esteem. Self-esteem evaluation is important in general nursing care but is not a specific intervention for managing urinary tract infections.
B. Encourage frequent voiding. Frequent voiding helps to flush out bacteria from the urinary tract and prevents stasis, which can reduce the risk of urinary tract infections.
C. Administer an antidiuretic. Antidiuretics reduce urine output and are not typically used in the treatment of urinary tract infections, which require adequate urine flow to flush out bacteria.
D. Restrict fluids. Adequate hydration is important in managing urinary tract infections to promote urine flow and help flush out bacteria. Fluid restriction is not appropriate unless otherwise indicated.
Correct Answer is C
Explanation
A. Wash bed linens in cold water. Washing bed linens in cold water is ineffective for killing pinworm eggs. Hot water should be used to properly sanitize linens and kill the eggs.
B. Clean the bathroom with bleach solution. While cleaning the bathroom with bleach can help reduce contamination, it is not a primary or effective measure for preventing pinworm spread and reinfection in a household setting.
C. Keep children's nails short. Keeping nails short reduces the likelihood of the child scratching the perianal area, where pinworm eggs are deposited, and then ingesting the eggs through hand-to-mouth contact. This helps prevent the spread and reinfection of pinworms.
D. Dress child in loose-fitting underwear. Loose-fitting underwear does not specifically help in preventing the spread or reinfection of pinworms. Tight-fitting underwear may actually be better to prevent the spread of eggs to other surfaces.
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