The nurse is preparing to administer insulin to a diabetic child. Which would be the recommended route for this administration?
Subcutaneous
Intradermal
Intramuscular
Oral
The Correct Answer is A
A. Subcutaneous: Insulin is administered subcutaneously because this route allows for slow, steady absorption into the bloodstream, mimicking the body’s natural insulin release. Common injection sites include the abdomen, thigh, and upper arm, where fatty tissue supports consistent absorption.
B. Intradermal: The intradermal route is used for diagnostic purposes such as allergy or tuberculosis testing. It is not appropriate for insulin administration, as absorption from the dermal layer would be inconsistent and inadequate for glucose control.
C. Intramuscular: Intramuscular insulin administration results in unpredictable and rapid absorption, which can lead to hypoglycemia. This route is generally avoided except in emergency situations when subcutaneous administration is not feasible.
D. Oral: Insulin cannot be administered orally because it is a protein that would be broken down by gastric enzymes before absorption. Therefore, the subcutaneous route remains the standard for effective insulin delivery in diabetic management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Behavioral therapy: Behavioral therapy focuses on modifying specific maladaptive behaviors through reinforcement and conditioning techniques. While effective for older children, it may not be suitable for a 4-year-old who lacks the cognitive maturity to understand behavioral interventions fully.
B. Play therapy: Play therapy is most appropriate for young children because it allows them to express feelings, fears, and experiences through play rather than words. It helps build trust, reduce anxiety, and provides insight into the child’s emotional state, especially following trauma such as abuse.
C. Cognitive behavioral therapy: Cognitive behavioral therapy (CBT) relies on a child’s ability to identify and modify thought patterns, which typically develops later in childhood. A 4-year-old’s limited abstract thinking makes CBT less effective at this stage.
D. Family therapy: Family therapy can help improve communication and relationships within the family system but may not directly address the child’s need for a safe, nonverbal way to express trauma-related emotions and build trust with the therapist.
Correct Answer is C
Explanation
A. Check tube placement: Tube placement should be verified before administering any medication to ensure that the tube is in the stomach and not the respiratory tract. Checking placement afterward does not prevent complications from incorrect placement.
B. Retape the tube: Retaping may be necessary if the tube is loose, but it is not the priority action after giving medication. The immediate concern is maintaining tube patency and preventing clogging.
C. Flush the tube: Flushing the orogastric tube with sterile or tap water after medication administration is the priority. It ensures that the full dose of the drug enters the stomach, prevents drug interactions or residue buildup in the tubing, and maintains patency.
D. Remove the tube: The orogastric tube should not be removed unless specifically ordered or if there is a clinical reason. Removal immediately after medication administration would prevent ongoing nutritional or medication use and is not a standard practice.
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