The nurse is teaching a child with type I diabetes mellitus to administer insulin. The child is receiving a combination of short acting and long acting insulin. The nurse knows that the child has appropriately learned the technique when the child:

Draws up the short acting insulin into the syringe first

Administer the insulin IM into rotating sites

Administers the insulin into a doll at a 30-degree angle

Wipes off the needle with an alcohol swab

Answer and Explanation

The Correct Answer is A

A. When mixing insulins, the short-acting insulin should be drawn into the syringe first to avoid contamination of the short-acting insulin with the long-acting insulin.

B. Insulin should be administered subcutaneously, not intramuscularly, and the sites should be rotated to avoid lipodystrophy.

C. Insulin should be administered at a 90-degree angle, not 30 degrees, to ensure proper subcutaneous delivery.

D. Wiping the needle with an alcohol swab is unnecessary and could introduce contaminants.

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Correct Answer is D

Explanation

A. Facial edema is a common finding in nephrotic syndrome due to hypoalbuminemia and fluid retention.

B. Irritability can occur due to discomfort or malaise associated with the condition but is not immediately concerning.

C. Poor appetite is a common symptom in children with nephrotic syndrome and is expected.

D. Yellow nasal discharge may indicate an infection, which is a concern in children with nephrotic syndrome because they are at increased risk for infections due to their condition and the potential use of immunosuppressive therapies.

A. Regular activity level should be encouraged as soon as possible. B. Be aware that the infection may spread and cause a tooth abscess. C. Complete the entire course of antibiotics to prevent rheumatic fever. D. Expect the lymph nodes to swell and obstruct the airway.

Correct Answer is C

Explanation

A. Rest is recommended until the child recovers, as exertion can worsen symptoms and delay healing.

B. While streptococcal infections can lead to complications, a tooth abscess is not a typical concern.

C. Completing the entire course of antibiotics is crucial to prevent complications such as rheumatic fever and glomerulonephritis.

D. Swollen lymph nodes are common, but they typically do not obstruct the airway in streptococcal pharyngitis.

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The nurse is teaching a child with type I diabetes mellitus to administer insulin. The child is receiving a combination of short acting and long acting insulin. The nurse knows that the child has appropriately learned the technique when the child:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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