Author Question: An adolescent diabetic is admitted to the emergency department for treatment of hyperglycemia and ... (Read 39 times)

soccerdreamer_17 · **on:** Jun 28, 2018

An adolescent diabetic is admitted to the emergency department for treatment of hyperglycemia and pneumonia. What are characteristics of diabetic hyperglycemia?

a. Cold, clammy skin and lethargy
b. Hunger and hypertension
c. Thirst, being flushed, and fruity breath
d. Disorientation and pallor

Question 2

The nurse is teaching an adolescent about giving insulin injections. The adolescent asks if the disposable needles and syringes can be used more than once. The nurse's response should be based on which knowledge?

a. It is unsafe.
b. It is acceptable for up to 24 hours.
c. It is acceptable for families with very limited resources.
d. It is suitable for up to 3 days if stored in the refrigerator.

pallen55 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
The signs of hyperglycemia are thirst, being flushed, and fruity breath. The skin is not cold or clammy, and there is not hunger and hypertension. Disorientation and pallor are signs of hypoglycemia.

Answer to Question 2

ANS: D
Bacterial counts are unaffected if insulin syringes are handled in an aseptic manner and stored in the refrigerator between use. The syringes can be used up to 3 days and result in a considerable cost savings. Bacterial counts remain low for up to 72 hours with proper technique. The family's resources are not an issue; if a practice is unsafe, the family should not be encouraged to endanger the child by reusing equipment.