Author Question: The nurse instructs a preadolescent child with type 1 diabetes mellitus how to self-administer an ... (Read 93 times)

saraeharris · **on:** Jun 27, 2018

The nurse instructs a preadolescent child with type 1 diabetes mellitus how to self-administer an injection of short-acting and long-acting insulin. Which observation indicates to the nurse that teaching has been successful?

A) Administers the insulin intramuscularly
B) Wipes off the needle with an alcohol swab
C) Administers the insulin at a 30-degree angle
D) Draws up the short-acting insulin into the syringe first

Question 2

Assessment reveals that a child weighs 73 lb and is 4 ft 1 in. tall. The nurse calculates this child's body mass index as:

A) 19.1
B) 20.7
C) 21.4
D) 24.5

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

Answer to Question 1

D
Feedback:
Patients should be taught that when insulin is being mixed in one syringe, the regular or short-acting insulin should be drawn into the syringe first. Insulin is injected into subcutaneous tissue. The needle should not be wiped off with alcohol before injecting. Insulin should be administered at a 90-degree angle to the skin surface.

Answer to Question 2

C
Feedback:
Body mass index is determined by dividing the child's weight (in pounds) by the child's height (in inches) squared and then multiplying this figure by 703 . Thus, 73 lb divided by (49 inches 49 inches) equals 0.0304 multiplied by 703 equals 21.37 or 21.4.