A nurse on an inpatient endocrine unit has received report on a ...

[mia]

A nurse on an inpatient endocrine unit has received report on a group of four patients. Which patient should the nurse see first?
 
  A.
  Blood glucose of 78 mg/dL, 12-year-old child
  B.
  Had Humalog injection and is not eating
  C.
  Needs teaching on giving insulin injections
  D.
  NPH insulin given, waiting an hour to eat

Question 2

A child is born with pseudohermaphroditi sm. After determining that the baby is a girl through genetic testing, the parents ask about her potential fertility. Which response by the nurse is the most appropriate?
 
  A.
  It is impossible to determine that until she reaches puberty.
  B.
  She is fertile but her uterus is abnormal so she can't carry a baby.
  C.
  Because her internal female organs are normal, she probably is fertile.
  D.
  Unfortunately, all babies born with this condition are infertile.

[Perkypinki]

Answer to Question 1

ANS: B
Humalog is a rapid-acting insulin, and a meal must be eaten within about 15 minutes of the injection, so the nurse needs to assess this patient first. The 12-year-old's blood sugar is normal, and if it gets lower the child is old enough to recognize hypoglycemia and call the nurse. NPH has an onset of action of 2-4 hours, so waiting an hour to eat will not cause a problem. The child who needs teaching will need an extended amount of time, so the nurse ensures all the other patients are stable prior to beginning the teaching session.

Answer to Question 2

ANS: C
Females born with pseudohermaphroditi sm have normal internal reproductive organs, so the chances are good that she will be fertile. Waiting until puberty will not reveal anything new.

[mia]

Thank you

[Perkypinki]

Happy to help you