The nurse is caring for an adolescent with type 1 diabetes mellitus who presents with an HbA1c of 11% (97 mmol/mol), thirst, and blurred vision.

What action should the nurse take first?

Choice A rationale
Creating an organization chart for tasks can help a child with ADHD manage their responsibilities and stay on track.
Choice D rationale
Designating an established area for study can provide structure and minimize distractions, helping a child with ADHD focus on their work.
Choice E rationale
Maintaining a consistent home schedule can provide predictability and structure, which can be beneficial for a child with ADHD5.
Choice B rationale
Nonstimulant medications can be beneficial in the treatment of ADHD. They are often used when stimulant medications are not effective or cause undesirable side effects.
Choice C rationale
While medication can be an important part of treatment for some children with ADHD, it is not always the best or only approach. Behavioral therapy and lifestyle changes are also important components of treatment.
Choice F rationale
Being diagnosed with ADHD does not automatically qualify a child for a specialized education plan. While some children with ADHD may benefit from individualized education programs (IEPs) or 504 plans, these are determined on a case-by-case basis.

Choice A rationale
Enalapril is an angiotensin-converting enzyme (ACE) inhibitor commonly used in the treatment of heart failure. It works by widening blood vessels, which reduces the workload of the heart and helps keep heart failure from getting worse. In the given scenario, there is no specific indication to hold Enalapril based on the infant’s vital signs.
Choice B rationale
Digoxin is a medication that can help the heart beat stronger with a more regular rhythm. However, it is important to monitor the patient’s heart rate when administering Digoxin, as it can lower the heart rate. In this case, the infant’s apical pulse is 88 beats/minute, which is lower than the normal range for an eight-month-old infant (normal range: 100-160 beats/minute). Therefore, the nurse should hold the Digoxin and inform the healthcare provider.
Choice C rationale
Furosemide is a diuretic that helps the kidneys get rid of extra fluid that may build up in the body. It is often used in the treatment of heart failure to relieve symptoms such as fluid retention. In the given scenario, there is no specific indication to hold Furosemide based on the infant’s vital signs.
Choice D rationale
Hydralazine is a medication used to treat high blood pressure. It works by relaxing and widening blood vessels so blood can flow more easily. In the given scenario, there is no specific indication to hold Hydralazine based on the infant’s vital signs.