A child drinks a glass of orange juice after experiencing ...

[londonang]

A child drinks a glass of orange juice after experiencing symptoms of hypoglycemia. This rapid-releasing sugar should be followed by which of the following?
 
  1. Protein
   2. Fruit juice
   3. Several glasses of water
   4. Complex carbohydrates and protein

Question 2

A 4 week old infant is brought to the ED. Mom states that the baby hasn't been eating well and has had decreased diapers for 2 days. The baby has been sleeping more and has been hard to wake up.
 
  On assessment, you find that the baby is difficult to arouse, is hypotonic and temperature is 35.4 rectally. What is an important lab value to check? Choose the best answer. 1. Complete metabolic panel
   2. Liver panel
   3. Blood glucose
   4. PTT

[livaneabi]

Answer to Question 1

4
Feedback
1. Once the child's blood sugar has increased, the child should immediately eat something that contains a protein.
2. Foods and beverages with simple sugars will temporarily increase the blood glucose level and are good for emergency situations.
3. Water lacks the protein and complex carbohydrates needed to help decrease the blood sugar levels.
4. Foods and beverages with simple sugars will temporarily increase blood glucose and are good for emergency situations. But once the child's blood sugar has increased, the child should immediately eat something that contains a protein and complex carbohydrate serving, such as peanut butter and crackers or cheese and wheat crackers.

Answer to Question 2

3
Feedback
1. Not the first choice due to the length of time to have results for a CPM
2. The signs and symptoms do not indicate the need for a liver panel
3. Lethargy, poor feeding, hypotonic and temperature instability are all signs of hypoglycemia
4. The sign and symptoms do not indicate a need for a PTT