The nurse is caring for an adolescent with type 1 diabetes mellitus presenting with an HbA1c of 11% (97 mmol/mol), thirst, and blurred vision. Which action should the nurse take first?
Review prior insulin prescriptions.
Obtain point-of-care glucose.
Assess urine for ketones.
Check blood pressure.
The Correct Answer is B
The adolescent's symptoms suggest that their blood glucose levels may be very high. Obtaining a point-of- care glucose reading is the first step in assessing the adolescent's current blood glucose levels and determining the appropriate course of action.
Reviewing prior insulin prescriptions, assessing urine for ketones, and checking blood pressure are also important interventions but should occur after the blood glucose level has been determined.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E","F"]
Explanation
The statements made by the caregiver that demonstrate an understanding of the education on treatment for a school-age child recently diagnosed with attention-deficit/hyperactivity disorder (ADHD) include designating an established area for study, knowing that medication is not always the best approach to treatment, creating an organization chart for tasks, and maintaining a consistent home schedule.
These strategies can help the child with ADHD to focus and manage their symptoms. The statement that nonstimulant medications show little benefit in treatment is not accurate; nonstimulant medications can be effective in treating ADHD. The statement that the child will be automatically entered into a specialized education plan is not accurate; an individualized education plan (IEP) must be developed and agreed upon by the school and parents.
Correct Answer is ["1.8"]
Explanation
The nurse should administer 1.8 mL of diazepam.
To calculate the volume of diazepam to be administered, you would first calculate the total dose of diazepam for this child by multiplying the child's weight (30 kg) by the prescribed dose (0.3 mg/kg). This calculation gives a total dose of 9 mg (30 kg x 0.3 mg/kg = 9 mg). Next, you would divide the total dose (9 mg) by the concentration of the medication (5 mg/mL) to determine the volume to be administered. This calculation gives a volume of 1.8 mL (9 mg / 5 mg/mL = 1.8 mL).
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