The nurse should implement which interventions for a child with type 1 diabetes who has a blood glucose level of 50 mg/dL? (Select All that Apply)
Encourage the child to ambulate.
Wat 30 minutes and confirm blood glucose reading
Give the child a tablespoon of honey or a snack.
Administer regular insulin.
Prepare to administer glucagon subcutaneously if unconsciousness occurs.
Correct Answer : C,E
A. Encouraging a child with hypoglycemia to ambulate can be dangerous. Physical activity can further lower blood sugar levels, which could exacerbate the situation. It’s better to keep the child stable and provide treatment for the low blood sugar.
B. Waiting to confirm the blood glucose reading is not appropriate in this case. A blood glucose level of 50 mg/dL requires immediate intervention, not a delay. The priority is to treat the hypoglycemia right away.
C. Providing a fast-acting carbohydrate, like a tablespoon of honey, is an appropriate intervention for treating hypoglycemia. Other options could include glucose tablets or juice. The key is to quickly raise the blood sugar level.
D. Administering insulin when blood glucose levels are low is contraindicated. Insulin would further decrease the blood sugar level, worsening the hypoglycemic state. The priority is to treat the low blood sugar, not to give insulin.
E. If the child becomes unconscious due to hypoglycemia and is unable to swallow, glucagon should be prepared for administration. Glucagon can help raise blood sugar levels in emergency situations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Fluoroquinolones, such as ciprofloxacin and levofloxacin, do not have a known significant interaction with neuromuscular blockers. They can generally be used safely in patients receiving neuromuscular blockade.
B. Aminoglycosides (such as gentamicin, tobramycin, and amikacin) can potentiate the effects of neuromuscular blockers and may lead to increased neuromuscular blockade. This can result in respiratory depression or paralysis, making them contraindicated in patients receiving neuromuscular blockers.
C. Carbapenems (such as meropenem and imipenem) do not typically have a significant interaction with neuromuscular blockers. They can generally be used safely, although careful monitoring is always recommended in patients with neuromuscular blockade.
D. Macrolides (such as azithromycin and erythromycin) do not have a major contraindication with neuromuscular blockers. While they can affect certain neuromuscular transmission processes, they are not typically contraindicated in this context.
Correct Answer is B
Explanation
A. Ondansetron is not indicated for treating diarrhea. While nausea can accompany diarrhea, ondansetron specifically targets nausea and vomiting rather than the underlying causes of diarrhea.
B. Ondansetron is primarily used to prevent and treat nausea and vomiting, particularly those associated with chemotherapy, radiation therapy, and postoperative recovery. If a patient is experiencing nausea and vomiting, ondansetron would be the appropriate medication to administer.
C. Ondansetron is not indicated for managing pain. Incisional pain is typically treated with analgesics, not antiemetics. While postoperative patients may experience nausea, ondansetron would not be used solely for pain relief.
D. Paralytic ileus is a condition characterized by the lack of movement in the intestines, leading to a blockage. While nausea and vomiting can occur in this condition, ondansetron is not a treatment for the underlying issue of ileus. The focus would be on managing the ileus and any complications that arise.
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