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
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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Related Questions
Correct Answer is ["5.6"]
Explanation
To calculate the dosage of amoxicillin for the toddler, first convert the weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The toddler weighs 33 lb, which is approximately 15 kg (33 ÷ 2.2). The prescribed dose is 30 mg/kg/day, so for a 15 kg toddler, the total daily dose is 450 mg (15 kg × 30 mg/kg). This total daily dose should be divided into two doses to be given every 12 hours, resulting in 225 mg per dose (450 mg ÷ 2). Now, using the concentration of the amoxicillin suspension available, which is 200 mg/5 mL, calculate the volume of suspension needed for each dose. For a dose of 225 mg, the volume required is 5.625 mL (225 mg × 5 mL / 200 mg). Rounded to the nearest tenth, the nurse should administer 5.6 mL for each dose.
Correct Answer is D
Explanation
A. A bulging fontanel indicates increased intracranial pressure or fluid overload, not dehydration. With dehydration, you expect a sunken fontanel.
B. Bradypnea (slow breathing) is not typically associated with dehydration and may indicate other issues.
C. A capillary refill time of 3 seconds suggests delayed perfusion, but it is not as indicative of severe dehydration as other signs.
D. Severity of dehydration is classified by percentage of body weight lost:Severe: ≥10% loss, moderate: 6–9% loss, mild: 3–5% loss. A 13% loss = severe dehydration, which matches the scenario.
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