What is the best nursing action when a child with type 1 diabetes mellitus is sweating, trembling, and pale?
Give the child 5 units of regular insulin subcutaneously.
Give the child a glass of orange juice.
Offer the child a glass of water.
Give the child glucagon subcutaneously.
The Correct Answer is B
These symptoms are indicative of hypoglycaemia, which occurs when the blood sugar levels drop too low. Providing a source of fast-acting carbohydrates, such as orange juice, can quickly raise the child's blood sugar levels and alleviate the symptoms.
Administering insulin (Option A) is incorrect because it is not appropriate in this situation because it would further lower the child's blood sugar levels.
Offering water (Option C) is incorrect because it would not effectively address the low blood sugar.
Glucagon (Option D) is incorrect because it is typically used in severe cases of hypoglycaemia when the child is unconscious or unable to swallow, and it requires a prescription. In this case, providing orange juice is the safest and most appropriate initial intervention. However, it is important to seek medical attention and inform the child's healthcare provider about the incident.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The assessment finding that the nurse should expect in an infant with Hirschsprung disease is option A, constipation with the passage of foul-smelling, ribbon-like stools. Hirschsprung disease is a congenital condition characterized by the absence of ganglion cells in the distal part of the colon, leading to functional obstruction. The affected segment of the colon lacks the normal peristaltic movements, resulting in an accumulation of faecal matter. The stools passed by infants with Hirschsprung disease are often constipated, and the narrow, ribbon- like appearance is a result of the narrowed segment of the colon.
diarrhea (option B) is incorrect because it, is not typically associated with Hirschsprung disease. Instead, the condition presents with constipation due to the obstructed bowel.
foul-smelling, fatty stools in (option C) is incorrect because it, is not characteristic of Hirschsprung disease. This finding may be associated with malabsorption disorders such as cystic fibrosis or celiac disease, but not specifically with Hirschsprung disease.
"currant jelly" stools in (option D) is incorrect because it, is a term commonly used to describe the stools seen in intussusception, which is a different condition involving the telescoping of one segment of the bowel into another. It is not an expected finding in Hirschsprung disease.
Correct Answer is B
Explanation
The statement that best describes why infants are at greater risk for dehydration than older children is option B. Infants have an increased extracellular fluid volume compared to older children. This means that a larger proportion of their total body fluid is located outside the cells, in the extracellular compartment. This higher extracellular fluid volume makes infants more susceptible to fluid losses and dehydration if they experience inadequate fluid intake or increased fluid losses.
infants have an increased ability to concentrate urine in (option A), is incorrect. Infants have limited renal function and may have difficulty concentrating urine compared to older children and adults. This can contribute to a higher risk of dehydration in infants.
infants have a greater volume of intracellular fluid in (option C), is incorrect. The volume of intracellular fluid is not the primary factor contributing to the increased risk of dehydration in infants.
infants have a smaller body surface area in (option D) is incorrect because it, is not directly related to the increased risk of dehydration. Body surface area influences heat exchange and fluid loss through sweating but is not the main factor contributing to the higher risk of dehydration in infants.
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