Author Question: A mother caring for a school-age child with type 1 diabetes mellitus is frantic because the child ... (Read 456 times)

magmichele12 · **on:** Jun 27, 2018

A mother caring for a school-age child with type 1 diabetes mellitus is frantic because the child self-administered 15 units of regular insulin instead of the prescribed 5 units before breakfast this morning.

What should the nurse instruct the mother to do at this time? (Select all that apply.) A) Observe for nervousness, weakness, dizziness, or sweating.
B) Determine if the child is experiencing extreme hunger and thirst.
C) Determine if the child is irritable or demonstrating stubbornness.
D) Provide the child with a half-glass of orange juice or regular soda.
E) Rub a small amount of honey on the child's gums and inside of the cheek.

Question 2

The nurse is explaining to the parents of a school-age child with type 1 diabetes mellitus how the health care provider determines the daily insulin dose.

The child is prescribed to receive 0.5 units/kg of body weight of intermediate-acting and short-acting insulin at the ratio of 2:1 . Because the child weighs 66 lb, how many units of the short-acting insulin will the health care provider prescribe? (Enter numeric value only.)

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

Answer to Question 1

A, C, D, E
Feedback:
Symptoms of hypoglycemia occur when the blood glucose level falls to about 60 mg/dl and results from the administration of too much insulin. Beginning symptoms include nervousness, weakness, dizziness, or sweating. In many children, the first signs of hypoglycemia are behavior problems such as stubbornness and irritability. When the signs of hypoglycemia are recognized, a child needs an immediate source of carbohydrate such as a half glass of orange juice or regular soda. If the child is comatose when first discovered or is too upset or uncooperative to take oral sugar, parents can rub glucose onto the gums or inside the cheek by using honey or other sweet substance. Extreme hunger and thirst are manifestations of hyperglycemia or an inadequate amount of insulin.

Answer to Question 2

5 units
Feedback:
The nurse should first determine the patient's weight in kilograms by dividing 66 lb by 2.2 or 66 / 2.2 = 30 kg. Then the nurse should multiple the prescribed dose of insulin by the body weight or 0.5 30 = 15 . Then the nurse will need to determine the amount of intermediate-acting and short-acting insulin according to the ratio of 2:1 . If the patient is to receive two parts of intermediate-acting insulin to one part of short-acting insulin, the total volume of 15 units can be divided by 3 . The patient should be prescribed to receive 10 units of intermediate-acting insulin and 5 units of short-acting insulin.