A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus.
Which of the following recommendations should the nurse make?
Store opened vials of insulin for up to 60 days.
Follow up with physical therapy.
Consult with a nutritionist.
Monitor capillary blood glucose daily.
The Correct Answer is C
Rationale:
A. Storing opened vials of insulin for up to 60 days is incorrect. Insulin should be discarded after the manufacturer's recommended expiration date or within 28 days after opening, whichever comes first.
B. Physical therapy is not typically indicated as part of routine care for adolescents with type 1 diabetes mellitus. However, regular physical activity is encouraged for overall health and blood sugar management.
C. Consulting with a nutritionist is important for adolescents with type 1 diabetes mellitus to receive individualized meal planning guidance, carbohydrate counting education, and dietary recommendations to help manage blood sugar levels.
D. Monitoring capillary blood glucose daily is essential for adolescents with type 1 diabetes mellitus, but it is not the only recommendation. Comprehensive diabetes management includes multiple aspects such as insulin therapy, dietary modifications, physical activity, and regular monitoring of blood glucose levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. This is a positive reinforcement strategy that can motivate the child to take the medication and reduce the unpleasant taste.
B. Giving milk with the medication may not be suitable for all medications, and some medications may interact with dairy products.
C. Mixing the medication with the child's favorite food is not advised because it can alter the taste and texture of the food and make the child dislike it in the future.
D. Diluting the medication with water may not be appropriate for all medications, and it could alter the effectiveness or stability of the medication.
Correct Answer is C
Explanation
A. Hypotension is not a common adverse effect of cefazolin. While hypotension can occur in severe allergic reactions, it is not a typical side effect of this medication.
B. Prolonged wound healing is not a primary concern with cefazolin. This antibiotic does not typically affect wound healing directly.
C. Stevens-Johnson syndrome is correct. Cefazolin can cause serious skin reactions, including Stevens-Johnson syndrome, which is a severe, life-threatening condition characterized by blistering and peeling of the skin. The nurse should monitor for signs of this reaction.
D. Bradypnea is not a common adverse effect of cefazolin. Respiratory depression is not typically associated with this medication.
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