The nurse is instructing the parent of a 10-year-old child newly diagnosed with type 1 diabetes mellitus (DM) on how to administer subcutaneous insulin injections.

The parent expresses a fear of needles and is unable to perform the procedure.

What intervention should the nurse implement?

Assess parenting skills

Determine if the child can administer the insulin

Encourage the parent to handle the needles

Ask if there is someone else who can help with the injections

Answer and Explanation

The Correct Answer is B

Choice A rationale
While assessing parenting skills is important in general, in this specific situation, the parent has expressed a fear of needles which is preventing them from being able to administer the insulin injections. Therefore, assessing parenting skills would not directly address the issue at hand.
Choice B rationale
If the child is capable and comfortable with administering their own insulin injections, this could be a viable solution to the problem. It is not uncommon for children, especially those who are older or more mature, to take over the administration of their own insulin injections. Choice C rationale
Encouraging the parent to handle the needles may be helpful, but if the parent has a strong fear of needles, this may not be a feasible solution. It’s important to respect the parent’s fear and find alternative solutions.
Choice D rationale
Asking if there is someone else who can help with the injections could potentially be a solution, but it would depend on the family’s situation and whether there is another person who is willing and able to help.

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Correct Answer is ["0.72"]

Explanation

Step 1 is to calculate the total amount of oxytocin in the IV bag. This is done by multiplying the total volume of the bag by the concentration of oxytocin. In this case, the bag contains 5 units of oxytocin in 500 mL, so the concentration is 5 units ÷ 500 mL = 0.01 units/mL.

Step 2 is to convert the prescribed dose from milliunits/min to units/hour. There are 1000 milliunits in a unit and 60 minutes in an hour, so 12 milliunits/min = 12 ÷ 1000 units/min = 0.012 units/min. Then, 0.012 units/min × 60 min/hour = 0.72 units/hour.

Step 3 is to calculate the infusion rate in mL/hour. This is done by dividing the prescribed dose in units/hour by the concentration of oxytocin in units/mL. So, 0.72 units/hour ÷ 0.01 units/mL = 72 mL/hour. Therefore, the nurse should set the infusion pump to 72 mL/hour.

A. Praise the client for her actions and offer to discuss ways to decrease consumption even more. B. Insist that the client stop all alcohol use and draw a blood alcohol level at each prenatal visit. C. Notify child protective services of the client’s illicit drug use and probable child endangerment. D. Refer the client to an outpatient alcohol abuse program for disulfiram therapy.

Correct Answer is D

Explanation

Choice A rationale
While it’s good that the client has reduced her alcohol intake, consuming alcohol during pregnancy can cause problems for the baby throughout pregnancy, including before a woman knows she is pregnant. Therefore, praising the client for her actions and offering to discuss ways to decrease consumption even more might not be enough.
Choice B rationale
Insisting that the client stop all alcohol use and drawing a blood alcohol level at each prenatal visit could be seen as invasive and might not address the underlying issue of alcohol dependency.
Choice C rationale
Notifying child protective services of the client’s illicit drug use and probable child endangerment is not applicable in this situation as the client has not mentioned any illicit drug use.
Choice D rationale
Referring the client to an outpatient alcohol abuse program for disulfiram therapy could be the most beneficial action. Disulfiram is a drug that is used to support the treatment of chronic alcoholism by producing an acute sensitivity to alcohol.

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The nurse is instructing the parent of a 10-year-old child newly diagnosed with type 1 diabetes mellitus (DM) on how to administer subcutaneous insulin injections. The parent expresses a fear of needles and is unable to perform the procedure. What intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient in active labor is prescribed oxytocin 12 milliunits/min intravenously (IV). The IV bag contains 5 units of oxytocin in 500 mL of lactated Ringer’s solution. How many mL/hour should the nurse set the infusion pump to? (Enter numerical value only) .

Correct Answer is ["0.72"]

Explanation

A client at 9-weeks gestation informs the nurse that she has reduced her alcohol intake but still consumes at least one alcoholic drink every evening before bedtime. What action should the nurse take?

Correct Answer is D

Explanation

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The nurse is instructing the parent of a 10-year-old child newly diagnosed with type 1 diabetes mellitus (DM) on how to administer subcutaneous insulin injections.

The parent expresses a fear of needles and is unable to perform the procedure.

What intervention should the nurse implement?