The nurse has been caring for an adolescent newly diagnosed with ...

[panfilo]

The nurse has been caring for an adolescent newly diagnosed with type 1 diabetes mellitus. The nurse provides instructions to the adolescent regarding the administration of insulin. The nurse tells the adolescent to:
 
  1. Use only the stomach and thighs for injections.
  2. Rotate each insulin injection site on a daily basis.
  3. Use the same site for injections for 1 month before rotating to another site.
  4. Use one major site for the morning injection and another site for the evening in-jection for 2 to 3 weeks before changing major sites.

Question 2

A female adolescent with type 1 diabetes mellitus has been chosen for her school's cheerleading squad. She visits the school nurse to obtain information regarding adjustments needed in her treatment plan for diabetes.
 
  The school nurse instructs the student to: 1. Eat half the amount of food normally eaten.
  2. Take two times the amount of prescribed insulin on practice and game days.
  3. Take the prescribed insulin 1 hour prior to practice or game time rather than in the morning.
  4. Eat six graham crackers or drink a cup of orange juice prior to practice or game time.

[todom5090]

Answer to Question 1

4

Rationale: To help decrease variations in absorption from day to day, the child should use one location within a major site for the morning injection, rotating to another site for the evening in-jection, and a third site for the bedtime injection if needed. This pattern should be continued for a period of 2 to 3 weeks before changing major sites. Use only the stomach and thighs for injec-tions, rotate each insulin injection site on a daily basis, and use the same site for injections for 1 month before rotating to another site are incorrect instructions to the adolescent.

Answer to Question 2

4

Rationale: An extra snack of 15 to 30 g of carbohydrate eaten before activities, such as cheer-leader practice, will prevent hypoglycemia. Six graham crackers or a cup of orange juice will provide 15 to 30 g of carbohydrate. The adolescent should not be instructed to adjust the amount or time of insulin administration. Meal amounts should not be decreased.

[panfilo]

TY

[todom5090]

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