The nurse should implement which interventions for a child with type 1 diabetes who has a blood glucose level of 50 mg/dL? (Select All that Apply)

Encourage the child to ambulate.

Wat 30 minutes and confirm blood glucose reading

Give the child a tablespoon of honey or a snack.

Administer regular insulin.

Prepare to administer glucagon subcutaneously if unconsciousness occurs.

Answer and Explanation

Correct Answer : C,E

A.   Encouraging a child with hypoglycemia to ambulate can be dangerous. Physical activity can further lower blood sugar levels, which could exacerbate the situation. It’s better to keep the child stable and provide treatment for the low blood sugar.
B.   Waiting to confirm the blood glucose reading is not appropriate in this case. A blood glucose level of 50 mg/dL requires immediate intervention, not a delay. The priority is to treat the hypoglycemia right away.
C.   Providing a fast-acting carbohydrate, like a tablespoon of honey, is an appropriate intervention for treating hypoglycemia. Other options could include glucose tablets or juice. The key is to quickly raise the blood sugar level.
D.   Administering insulin when blood glucose levels are low is contraindicated. Insulin would further decrease the blood sugar level, worsening the hypoglycemic state. The priority is to treat the low blood sugar, not to give insulin.
E.   If the child becomes unconscious due to hypoglycemia and is unable to swallow, glucagon should be prepared for administration. Glucagon can help raise blood sugar levels in emergency situations.

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Correct Answer is D

Explanation

A. While this can be helpful for managing pain and inflammation, it's not a universal recommendation and should be discussed with a healthcare provider.
B. This is important to prevent stomach upset, a common side effect of many anti-inflammatory medications.
C. Regular, low-impact exercise is crucial for maintaining joint function and reducing stiffness in people with rheumatoid arthritis.
D. While weight-bearing activities might need to be modified or avoided during flare-ups, complete avoidance of weight-bearing activity can lead to muscle weakness and further joint problems.

A. Foul smelling breath and noisy respirations. B. Weak cough and high-pitched noise on respiration. C. Pain over the sinus area and purulent nasal drainage. D. A red pharyngeal membrane and fever.

Correct Answer is D

Explanation

A. These symptoms are more indicative of a respiratory infection, such as sinusitis or pneumonia.
B. These symptoms are more suggestive of a respiratory obstruction, such as croup or epiglottitis.
C. These symptoms are characteristic of sinusitis.
D. Acute pharyngitis often presents with a red and inflamed pharyngeal membrane (throat), along with fever.

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The nurse should implement which interventions for a child with type 1 diabetes who has a blood glucose level of 50 mg/dL? (Select All that Apply)

Nursing Test Bank

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Explanation

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Correct Answer is D

Explanation

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