A nurse in a clinic is collecting data from an adolescent who has type 1 diabetes mellitus.Which of the following findings is the priority for the nurse to report?

Client's current blood glucose is 220 mg/dL

Client is exhibiting Kussmaul respirations

Client reports vomiting once that day

Client reports frequent urination

Answer and Explanation

The Correct Answer is B

Choice A reason:

A blood glucose level of 220 mg/dL is elevated and should be addressed, but it may not be an immediate priority compared to the presence of Kussmaul respirations.

Choice B reason.

Correct. Kussmaul respirations are a sign of diabetic ketoacidosis (DKA), a severe complication of diabetes. This requires immediate attention and intervention.

Choice C reason:

Vomiting is a concerning symptom, but it may not be as immediately life-threatening as Kussmaul respirations.

Choice D reason:

Frequent urination is a common symptom of diabetes, but it may not require immediate intervention unless it is accompanied by other severe symptoms.

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Correct Answer is B

Explanation

Choice A reason:

Roseola infantum is a common viral illness in infants and young children, but it is not considered a notifiable infectious disease.

Choice B reason:

Correct. Measles is a notifiable infectious disease. This means that healthcare providers are required to report any diagnosed cases to public health authorities due to its potential for outbreaks.

Choice C reason:

Fifth disease, caused by parvovirus B19, is typically a mild viral illness in children and is not classified as a notifiable infectious disease.

Choice D reason:

Scabies is a parasitic infestation, not an infectious disease. It is caused by the Sarcoptes scabiei mite and is not considered notifiable.

A. Move the infant into an upright position and suction the airway with a bulb syringe. B. Deliver back blows with the infant face down over the rescuer's arm. C. Place the infant in a side-lying position and perform abdominal thrusts. D. Perform a head tilt and a chin lift and then give two rescue breaths.

Correct Answer is B

Explanation

Choice A reason:

Using a bulb syringe for suctioning is not the appropriate intervention for a choking infant. This may not effectively clear the airway obstruction.

Choice B reason:

Delivering back blows with the infant face down over the rescuer's arm is the recommended action for relieving a choking episode in an infant. This helps to dislodge the obstruction from the airway.

Choice C reason:

Placing the infant in a side-lying position and performing abdominal thrusts is the intervention for a conscious infant who is choking. This is not the appropriate action for an infant showing circumoral cyanosis.

Choice D reason:

Performing a head tilt and chin lift followed by giving rescue breaths is the procedure for providing rescue breaths in infant CPR. It is not the initial intervention for a choking infant.

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A nurse in a clinic is collecting data from an adolescent who has type 1 diabetes mellitus.Which of the following findings is the priority for the nurse to report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is B

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