Author Question: A child with diabetes reports that he is feeling a little shaky. Further assessment reveals that the ... (Read 153 times)

geoffrey · **on:** Jun 28, 2018

A child with diabetes reports that he is feeling a little shaky. Further assessment reveals that the child is coherent but with some slight tremors and sweating. A fingerstick blood glucose level is 70 mg/dL. What would the nurse do next?

A) Administer a sliding-scale dose of insulin.
B) Give 10 to 15 grams of a simple carbohydrate.
C) Offer a complex carbohydrate snack.
D) Administer glucagon intramuscularly.

Question 2

The nurse is administering a hepatitis B vaccine to a child. What is the classification of this type of vaccine?

A) Killed vaccines
B) Toxoid vaccines
C) Conjugate vaccines
D) Recombinant vaccines

miss.ashley · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Ans: B
The child is experiencing hypoglycemia as evidenced by the assessment findings and blood glucose level. Since the child is coherent, offering the child 10 to 15 grams of a simple carbohydrate would be appropriate. Insulin is not used because the child is hypoglycemic. A complex carbohydrate snack would be used after offering the simple carbohydrate to maintain the glucose level. Intramuscular glucagons would be used if the child was not coherent.

Answer to Question 2

Ans: D
Recombinant vaccines use genetically engineered organisms. The hepatitis B vaccine is produced by splicing a gene portion of the virus into a gene of a yeast cell. The yeast cell is then able to produce hepatitis B surface antigen to use for vaccine production. Killed vaccines contain whole dead organisms; they are incapable of reproducing but are capable of producing an immune response. Toxoid vaccines contain protein products produced by bacteria called toxins. The toxin is heat-treated to weaken its effect, but it retains its ability to produce an immune response. Conjugate vaccines are the result of chemically linking the bacterial cell wall polysaccharide (sugar-based) portions with proteins.