The nurse is teaching a child with type I diabetes mellitus to administer insulin. The child is receiving a combination of short acting and long acting insulin. The nurse knows that the child has appropriately learned the technique when the child:

Draws up the short acting insulin into the syringe first

Administer the insulin IM into rotating sites

Administers the insulin into a doll at a 30-degree angle

Wipes off the needle with an alcohol swab

Answer and Explanation

The Correct Answer is A

A. When mixing insulins, the short-acting insulin should be drawn into the syringe first to avoid contamination of the short-acting insulin with the long-acting insulin.

B. Insulin should be administered subcutaneously, not intramuscularly, and the sites should be rotated to avoid lipodystrophy.

C. Insulin should be administered at a 90-degree angle, not 30 degrees, to ensure proper subcutaneous delivery.

D. Wiping the needle with an alcohol swab is unnecessary and could introduce contaminants.

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Correct Answer is B

Explanation

A. These vital signs are generally within expected ranges for a 2-year-old child.

B. A blood pressure of 79/40 mm Hg is low for a 2-year-old, and the elevated heart rate of 135/min and increased respirations suggest that the child may be experiencing significant distress or volume depletion, requiring immediate attention.

C. These vital signs are within normal limits for a 2-year-old child.

D. Although the blood pressure is on the lower end of normal and heart rate is slightly elevated, these findings are less concerning than option B.

A. "If I don't control my asthma I will miss fewer days of school." B. "Coughing and shortness of breath in the morning can be a sign that my asthma is well controlled." C. "Eliminating allergens that irritate my lungs can help me avoid getting an asthma attack" D. "Even if I control asthma well, I won't be able to participate in sports or physical activities."

Correct Answer is C

Explanation

A. This statement is incorrect; effective asthma management should help the child attend school regularly rather than miss fewer days.

B. Coughing and shortness of breath in the morning usually indicate poor asthma control, not good control.

C. Eliminating allergens that irritate the lungs is an effective strategy for asthma management and prevention of attacks.

D. Proper asthma management should allow participation in physical activities, not exclude the child from them.

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The nurse is teaching a child with type I diabetes mellitus to administer insulin. The child is receiving a combination of short acting and long acting insulin. The nurse knows that the child has appropriately learned the technique when the child:

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 2-year-old child in an acute care setting. Which of the following vital signs require immediate notification to a primary care provider?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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