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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. In roseola (also known as exanthem subitum or sixth disease), a child typically develops a rash that is characterized by small, rose-colored spots (maculopapular rash) after the fever resolves. However, it is not primarily described as a "red papular rash" at the onset, which can lead to some confusion.
B. Koplik spots are small, white lesions that appear inside the mouth and are characteristic of measles, not roseola. They do not occur in roseola.
C. A severe cough is not a symptom of roseola. While respiratory symptoms can be present in many viral infections, roseola is primarily characterized by a high fever followed by a rash, with minimal respiratory involvement.
D. Inflammation of the parotid gland is associated with mumps, not roseola. Roseola does not typically involve swelling of the salivary glands.

A. Negative calcium balance B. Loss of estrogen C. Dowager's hump D. Bone fractures

Correct Answer is D

Explanation

A. While osteoporosis is characterized by a negative calcium balance, this is not a major complication itself. It's a contributing factor to the condition.
B. Loss of estrogen is a risk factor for osteoporosis, especially in postmenopausal women. However, it's not a complication of the disease itself.
C. Dowager's hump, or kyphosis, is a common symptom of osteoporosis, but it's not a major complication. It's a visible manifestation of the disease.
D. Bone fractures are the major complication of osteoporosis. The weakened bones become more susceptible to fractures, especially in areas like the hip, spine, and wrist.

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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)

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Naxlex Comprehensive Predictor Exams

A child with roseola will have which symptom?

Correct Answer is A

Explanation

The nurse is caring for an elderly female with osteoporosis. When teaching the client, the nurse should include information about which major complication?

Correct Answer is D

Explanation

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