Author Question: A 14-year-old female who has type 1 diabetes mellitus that has been well-controlled for several ... (Read 50 times)

khang · **on:** Jul 23, 2018

A 14-year-old female who has type 1 diabetes mellitus that has been well-controlled for several years is admitted to the hospital for treatment of severe hyperglycemia. The patient's lab values indicate poor glycemic control for the past 3 months.

The nurse caring for this patient will suspect which cause for the change in diabetic control?
a. Adolescent rebellion and noncompliance
b. Changes in cognitive function
c. Hormonal fluctuations
d. Possible experimentation with drugs or alcohol

Question 2

The provider has ordered that vitamin D drops be given to a newborn. Based on the knowledge of drug distribution in infants, the nurse understands that the infant may need

a. a higher dose.
b. a lower dose.
c. less frequent dosing.
d. more frequent dosing.

brittanywood · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
In adolescence, hormonal changes and growth spurts may necessitate changes in medication dosages; many children with chronic illness require dosage adjustments in the early teen years.

Answer to Question 2

ANS: B
Neonates and young infants tend to have less body fat than older children, meaning that they need less of fat-soluble medications since these medications won't be bound in fat tissue. Higher doses would lead to drug toxicity. Body fat does not affect the frequency of dosing.