The nurse is caring for an adolescent with type 1 diabetes mellitus who presents with an HbA1c of 11% (97 mmol/mol), thirst, and blurred vision.
What action should the nurse take first?
Obtain point-of-care glucose.
Assess urine for ketones.
Check blood pressure.
Review prior insulin prescriptions.
The Correct Answer is A
Choice A rationale
The first action the nurse should take when caring for an adolescent with type 1 diabetes mellitus who presents with an HbA1c of 11% (97 mmol/mol), thirst, and blurred vision is to obtain point-of-care glucose. These symptoms are indicative of hyperglycemia, and immediate blood glucose testing is necessary to confirm this and guide further treatment.
Choice B rationale
Assessing urine for ketones is important in managing diabetes, especially in cases of suspected diabetic ketoacidosis. However, this would not be the first action to take in this scenario.
Choice C rationale
Checking blood pressure is a standard part of any physical assessment, but it would not be the first action to take in this scenario.
Choice D rationale
Reviewing prior insulin prescriptions can provide valuable information about the patient’s management of their diabetes, but it would not be the first action to take in this scenario.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice d. Positive rapid strep test of the oropharynx.
Choice A rationale:
Blood pressure of 88/50 mmHg is lower than normal but not typically associated with acute glomerulonephritis. High blood pressure is more common in this condition.
Choice B rationale:
Weight loss is not a typical symptom of acute glomerulonephritis. Instead, fluid retention and weight gain are more common due to edema.
Choice C rationale:
A maculopapular rash over the trunk is not commonly associated with acute glomerulonephritis. This condition usually presents with symptoms like hematuria, proteinuria, and edema.
Choice D rationale:
A positive rapid strep test of the oropharynx indicates a recent streptococcal infection, which is a common cause of acute glomerulonephritis. Reporting this finding is crucial for appropriate management.
Correct Answer is A
Explanation
Choice A rationale
Rice is a gluten-free grain and is safe for individuals with celiac disease to consume.
Choice B rationale
Barley contains gluten, a protein that triggers an immune response in people with celiac disease, damaging the lining of the small intestine. Therefore, barley should be avoided.
Choice C rationale
Rye also contains gluten and should be avoided by individuals with celiac disease.
Choice D rationale
Oats are often cross-contaminated with gluten-containing grains and should be consumed with caution. Only oats labeled as gluten-free are safe for individuals with celiac disease.
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