A nurse is caring for a 6-week-old infant who has pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

Sure, let’s calculate the total fluid intake step by step.

Step 1: Convert ½ cup of juice to mL.

• 1 cup = 240 mL
• ½ cup = 240 mL ÷ 2 = 120 mL
• Result: 120 mL

Step 2: Convert 3 oz of gelatin to mL.

• 1 oz = 30 mL
• 3 oz = 3 × 30 mL = 90 mL
• Result: 90 mL

Step 3: Convert 1 oz of an ice pop to mL.

• 1 oz = 30 mL
• 1 oz = 30 mL
• Result: 30 mL

Step 4: Ginger ale is already in mL.

• Result: 20 mL

Step 5: Add all the mL values together.

• 120 mL (juice) + 90 mL (gelatin) + 30 mL (ice pop) + 20 mL (ginger ale) = 260 mL
• Result: 260 mL

The nurse should record the child’s fluid intake as 260 mL.

Choice A: This statement indicates a lack of understanding of the teaching, as insulin should not be stored in the freezer, as freezing can damage the insulin and make it ineffective. Insulin should be stored in a cool and dry place, away from direct sunlight and heat sources. Unopened bottles of insulin can be stored in the refrigerator until their expiration date, but opened bottles of insulin can be kept at room temperature for up to 28 days.

Choice B: This statement indicates a lack of understanding of the teaching, as the morning blood glucose level for a child who has type 1 diabetes mellitus should be between 70 and 110 mg/dL, according to the American Diabetes Association. A blood glucose level between 90 and 130 mg/dL may indicate hyperglycemia, which is high blood sugar and can cause symptoms such as thirst, hunger, fatigue, or frequent urination. A blood glucose level below 70 mg/dL may indicate hypoglycemia, which is low blood sugar and can cause symptoms such as sweating, shaking, dizziness, or confusion.

Choice C: This statement indicates an understanding of the teaching, as eating a snack half an hour before playing soccer can help prevent hypoglycemia, which is low blood sugar, in a child who has type 1 diabetes mellitus. Physical activity can lower blood sugar levels by increasing the uptake of glucose by the muscles. Eating a snack that contains carbohydrates and protein can provide energy and prevent a sudden drop in blood sugar levels during or after exercise.

Choice D: This statement indicates a lack of understanding of the teaching, as regular insulin should not be skipped or stopped when a child who has type 1 diabetes mellitus is sick. In fact, insulin may need to be increased or adjusted when a child is sick, as illness can raise blood sugar levels by causing stress hormones or inflammation. The child should monitor their blood sugar levels more frequently when they are sick and follow their sick day plan that includes taking insulin, checking for ketones, staying hydrated, and contacting their provider if needed.