What should a nurse advise the parents of a child with type 1 diabetes mellitus who is not eating as a result of a minor illness?

Give the child half his regular morning dose of insulin

Substitute simple carbohydrates or calorie-containing liquids for solid foods

Give the child plenty of unsweetened, clear liquids to prevent dehydration

Take the child directly to the emergency department

Answer and Explanation

The Correct Answer is B

The child should receive his regular dose of insulin even if he does not have an appetite. If the child is not eating as usual, he needs calories to prevent hypoglycemia. During periods of minor illness, the child with type 1 diabetes mellitus can be managed safely at home.

Choice A is wrong because giving the child half his regular morning dose of insulin can lead to hyperglycemia and ketoacidosis.

Choice C is wrong because giving the child plenty of unsweetened, clear liquids to prevent dehydration can also cause hypoglycemia.

Choice D is wrong because taking the child directly to the emergency department is not necessary unless the child has signs of severe dehydration, vomiting, abdominal

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Correct Answer is ["C","D","E"]

Explanation

The parents should notify the physician if the infant has a temperature above 37.7° C (100° F), new frequent coughing, or turning blue or bluer

than normal. These are signs of infection, respiratory distress, or cyanosis, which could indicate complications after cardiac surgery.

Choice A is wrong because a respiratory rate of 36 breaths/minute at rest is within the normal range for an infant.

Choice B is wrong because an appetite slowly increasing is a positive sign of recovery and does not require immediate attention.

A. Pouring water from a squeeze bottle over the woman’s perineum. B. Placing oil of peppermint in a bedpan under the woman. C. Asking the physician to prescribe analgesics. D. Inserting a sterile catheter.

Correct Answer is B

Explanation

This is because oil peppermint can stimulate the micturition reflex and help the woman to void.

Some possible explanations for the other choices are:

Choice A is wrong because pouring water over the perineum may not be enough to trigger the micturition reflex and may cause discomfort or infection.

Choice C is wrong because analgesics may not address the underlying cause of urinary retention and may have side effects such as drowsiness or nausea.

Choice D is wrong because inserting a sterile catheter is an invasive procedure that carries risks such as trauma, infection, or bladder spasms. It should be used only as a last resort after other methods have failed.

Normal ranges for postpartum bladder function are:

Urine output: 3000 to 5000 mL/day for the first 2 to 3 days after delivery.
Urine specific gravity: 1.005 to 1.030.
Urine pH: 4.6 to 8.0.

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What should a nurse advise the parents of a child with type 1 diabetes mellitus who is not eating as a result of a minor illness?

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Naxlex Comprehensive Predictor Exams

A nurse is conducting discharge and teaches parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician if the conditions occur. (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

Because a full bladder prevents the uterus from contracting normally, nurses intervene to help the woman empty her bladder spontaneously as soon as possible. If all else fails, the last thing the nurse could try is:

Correct Answer is B

Explanation

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