The nurse is caring for a child just admitted with diabetic ...

[lilldybug07]

The nurse is caring for a child just admitted with diabetic ketoacidosis (DKA). Which healthcare provider prescription should the nurse question?
 
  1. Neurologic checks hourly
  2. Insert urinary catheter and measure output hourly
  3. NPH insulin IV at 0.1 unit/kg per hour
  4. Stat serum electrolytes

Question 2

The client having her second child is scheduled for a cesarean birth because the baby is in a breech presentation. The client states, I'm wondering what will be different this time compared with my first birth, which was vaginal. Which response by the nurse is most appropriate?
 
  1. We'll take good care of you and your baby. You'll be home before you know it.
  2. You'll be wearing sequential compression devices to prevent blood clots from forming in your legs.
  3. You will have a lot of pain, but there are medications that we give when it gets bad.
  4. You won't be able to nurse until the baby is 12 hours old because of your epidural.

[maya.nigrin17@yahoo.com]

Answer to Question 1

3
Explanation:
1. Hourly neurologic checks are an appropriate order.
2. Urinary catheter and hourly outputs are appropriate.
3. NPH insulin is never administered IV. A short-acting insulin needs to be ordered.
4. Stat electrolytes are an appropriate order.

Answer to Question 2

2
Explanation:
1. This response focuses on the nurse, and does not provide specific information to answer the client's question.
2. Sequential compression devices (SCDs) are used until the client is up and walking to prevent thrombus formation.
3. Focusing on the pain is a negative emphasis. In addition, pain medications work best when they are taken as the pain is intensifying; medication should not be delayed until the pain is severe, as less relief will be obtained.
4. Epidural anesthesia prevents leg function, and therefore ambulation, but does not impact a mother's ability to breastfeed. She might need some assistance with positioning the infant due to bed rest, but should be encouraged to breastfeed as soon as possible.