A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority?

Cholesterol 189 mg/dL

HbA1c 11.5%

Glycosuria

Preprandial blood glucose 124 mg/dL

Answer and Explanation

The Correct Answer is B

A. While an elevated cholesterol level is a concern in diabetes, it is not the priority in this case. The elevated HbA1c level indicates a more pressing issue that requires immediate attention.

B. The correct answer is B. HbA1c 11.5%. HbA1c is a measure of the average blood glucose level over the past 2 to 3 months. A high HbA1c indicates poor glycemic control and increased risk of complications from diabetes. The nurse's priority is to address the factors that are contributing to the high HbA1c and provide education and support to improve the adolescent's self-management.

C. Glycosuria, while important to monitor, is a common finding in uncontrolled diabetes.
It indicates elevated blood glucose levels and may require adjustments in the treatment plan. However, it is not as critical as addressing the elevated HbA1c level.

D. A preprandial blood glucose level of 124 mg/dL is within a reasonable range for an adolescent with diabetes. It is important to monitor blood glucose levels, but the elevated HbA1c level takes precedence in this situation.

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Correct Answer is ["A","B","C","D","H"]

Explanation

A. Instruct the parent to ensure the pneumococcal vaccine is current.
This is a preventive measure to reduce the risk of infections in individuals with sickle cell disease.

B. Give oral hydroxyurea.
Hydroxyurea is used to decrease the frequency of pain episodes in sickle cell disease.

C. Monitor oxygen saturation continuously.
Continuous monitoring of oxygen saturation is important to detect any potential respiratory complications.

D. Place the client on strict bed rest.
Bed rest helps to reduce the metabolic demands on the body and promotes healing.

E. Restrict oral intake.
During a sickle cell crisis, it's generally not necessary to restrict oral intake unless there are specific indications to do so, such as severe abdominal pain or vomiting that prevents the child from tolerating oral feeds.

F. Apply cold compresses to the affected joints. Administer meperidine IV for pain.
Cold compresses may exacerbate vaso-occlusion, and meperidine is not the first-line choice for pain management in sickle cell crisis due to potential neurotoxicity.
G. Administer meperidine IV for pain.
Meperidine has a relatively short duration of action, which may necessitate frequent dosing. This can lead to more fluctuations in pain control.

H. Administer folic acid as prescribed.
Folic acid supplementation is often recommended for individuals with sickle cell disease to support red blood cell production.

A. Teach the client about ostomy care. B. Administer total parenteral nutrition. C. Initiate long-term antibiotic therapy. D. Maintain an NG tube for decompression.

Correct Answer is A

Explanation

A. Teaching the client about ostomy care is important if the Meckel diverticulum was removed and an ostomy was created as part of the surgical procedure.

B. Total parenteral nutrition is not typically indicated following the repair of Meckel diverticulum. Most clients can resume oral intake shortly after surgery.

C. Long-term antibiotic therapy is not typically necessary after the repair of Meckel diverticulum unless there are specific indications for ongoing treatment.

D. Maintaining an NG (nasogastric) tube for decompression is not typically indicated after the repair of Meckel diverticulum. It may be used temporarily if there are concerns about bowel obstruction or ileus, but it is not a long-term intervention.

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A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis. Exhibits The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.

Correct Answer is ["A","B","C","D","H"]

Explanation

A nurse is planning care for an adolescent following the repair of the Meckel diverticulum. Which of the following actions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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