The nurse is caring for a hospitalized child newly diagnosed with type 1 diabetes mellitus. At 1100, the child suddenly complains of weakness, headache, and blurred vision. How would the nurse respond?

Give the child 1⁄2 cup of orange juice to drink.

Call the dietary department and ask that the lunch tray be delivered early.

Contact the physician.

Obtain a blood glucose reading

Answer and Explanation

The Correct Answer is A

A. Give the child 1⁄2 cup of orange juice to drink. These symptoms indicate hypoglycemia, a common early complication of diabetes treatment. Orange juice contains quick-acting sugars that can rapidly raise blood glucose levels and alleviate symptoms. This is the immediate action to manage the child's symptoms.
B. Call the dietary department and ask that the lunch tray be delivered early. Delayed action compared to treating the immediate hypoglycemia.
C. Contact the physician. While eventually necessary, immediate treatment of hypoglycemia takes precedence.
D. Obtain a blood glucose reading. Important to confirm hypoglycemia but not as urgent as providing immediate treatment.

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Correct Answer is C

Explanation

A. Remove clothing. Removing clothing is important to prevent further injury from retained heat or chemicals, but it is not the first priority compared to ensuring a patent airway and adequate breathing.
B. Administer pain medication. Pain management is important but comes after ensuring the child's airway and respiratory status are stable.
C. Assess respiratory status. Burns on the face and chest can compromise the airway and breathing. Assessing respiratory status is the first priority to ensure the child’s airway is not obstructed and that they are receiving adequate oxygen.
D. Insert a Foley catheter. Inserting a Foley catheter may be necessary to monitor urine output and assess kidney function in severe burns, but it is not the first priority compared to assessing respiratory status.

A. Insulin is absorbed most rapidly when injected in the thigh. B. Use cold insulin for injection to minimize site pain. C. Massage the site after injection to promote absorption. D. Rotate the injection site to keep insulin levels consistent.

Correct Answer is D

Explanation

A. Insulin is absorbed most rapidly when injected in the thigh. Insulin is actually absorbed most rapidly in the abdomen, not the thigh.
B. Use cold insulin for injection to minimize site pain. Insulin should be at room temperature for injection to reduce discomfort and avoid altered absorption rates. Cold insulin can increase injection pain.
C. Massage the site after injection to promote absorption. Massaging the injection site can cause unpredictable insulin absorption and is not recommended.
D. Rotate the injection site to keep insulin levels consistent. Rotating the injection sites helps prevent lipodystrophy and ensures consistent insulin absorption. It helps maintain stable blood glucose levels.

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The nurse is caring for a hospitalized child newly diagnosed with type 1 diabetes mellitus. At 1100, the child suddenly complains of weakness, headache, and blurred vision. How would the nurse respond?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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