Author Question: The nurse is working with a teenager who has insulin-dependent diabetes. This adolescent has ... (Read 62 times)

ashley · **on:** Jun 27, 2018

The nurse is working with a teenager who has insulin-dependent diabetes. This adolescent has returned to the hospital after being discharged a month ago. Both hospitalizations are because of the blood sugar getting out of control.

The nurse suspects the teen is not open about the diabetes then interacting with peers. Select the statement that would be most helpful for the nurse to say. a. Some teenagers who have diabetes don't like friends to know about it. How has it been for you?
b. Have you told your friends and classmates about your diabetes and the need to eat in a healthier way?
c. You really need to tell your friends and classmates about your diabetes and let them help you manage it.
d. I suspect you postpone testing your blood sugar and taking your insulin then you are with friends. Am I right?

Question 2

The nurse caring for a 6-month-old infant who is recovering from moderate dehydration and weighs 16 pounds knows that the minimal acceptable output for this child is:

a. 7.2 mL/hour
b. 10 mL/hour
c. 12.75 mL/hour
d. 14.5 mL/hour

Shshxj · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A

Feedback
A Correct: The statement that would be most helpful for the nurse to say would be: Some teenagers who have diabetes don't like friends to know about it. How has it been for you? Use of open-ended, nonjudgmental questions gives the child permission to talk about how he or she is managing the condition and feelings related to the diabetes.
B Incorrect: The statement Have you told your friends and classmates about your diabetes and the need to eat in a healthier way? would not be the most helpful for the nurse to say.
C Incorrect: The statement You really need to tell your friends and classmates about your diabetes and let them help you manage it would not be the most helpful for the nurse to say.
D Incorrect: The statement I suspect you postpone testing your blood sugar and taking your insulin then you are with friends. Am I right? would not be the most helpful for the nurse to say.

Answer to Question 2

D
A 16-pound child weighs 7.27 kg (16 pounds/2.2 = 7.27 kg). Using the formula of 2 mL/kg/hour for an infant: 7.27 kilograms 2 mL/kg/hour = 14.54 mL/hour.