A nurse is collecting data from an adolescent who has diabetes mellitus and is receiving glucagon therapy. Which of the following findings indicates the therapy has been effective?

Increased alertness

Diaphoresis

Blood glucose 50 mg/dL

Urine ketones +3

Answer and Explanation

The Correct Answer is C

Choice A reason:

Increased alertness may be a sign of improved glucose levels, but it is not as direct an indicator as a blood glucose measurement.

Choice B reason:

Diaphoresis is a symptom of low blood glucose levels and indicates the need for intervention rather than effectiveness of therapy.

Choice C reason:

A blood glucose level of 50 mg/dL is within the normal range and indicates that the glucagon therapy has been effective in raising blood glucose levels.

Choice D reason:

The presence of urine ketones indicates that the body is using fats for energy, which may occur in the absence of adequate glucose. This is not an indicator of the effectiveness of glucagon therapy.

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Correct Answer is B

Explanation

Choice A reason:

Biting behavior in a 15-month-old child is developmentally appropriate and not indicative of child maltreatment.

Choice B reason:

Correct. A fracture resulting from a bicycle injury may raise concerns about the child's safety and supervision, and it should be reported for further evaluation.

Choice C reason:

A history of frequent urinary tract infections is a medical concern but does not necessarily indicate child maltreatment.

Choice D reason:

Small bruises on the shins are common in toddlers and are typically the result of normal play and exploration. They are not necessarily indicative of child maltreatment.

A. "Obtain a pneumococcal immunization for your child." B. "Avoid allowing your child to participate in school sports." C. "Have your child inhale deeply and quickly when using the peak flow meter." D. "Use salmeterol to manage your child's acute exacerbations."

Correct Answer is A

Explanation

Choice A reason:

Obtaining a pneumococcal immunization is an important preventive measure for children with asthma, as respiratory infections can exacerbate their condition.

Choice B reason:

Encouraging physical activity is important for children with asthma. While some precautions may be necessary, avoiding participation in school sports altogether is not recommended.

Choice C reason:

Having the child inhale deeply and quickly when using the peak flow meter is not the recommended technique. The child should take a deep breath and exhale forcefully to obtain an accurate reading.

Choice D reason:

Salmeterol is a long-acting beta-agonist (LABA) used for maintenance therapy, not for managing acute exacerbations. It should be used in combination with an inhaled corticosteroid for optimal asthma control.

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A nurse is collecting data from an adolescent who has diabetes mellitus and is receiving glucagon therapy. Which of the following findings indicates the therapy has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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