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Author Question: A hospitalized diabetic child is sweating, nauseated, and has a headache. What action by the nurse ... (Read 57 times)

mp14

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on: Jun 28, 2018
A hospitalized diabetic child is sweating, nauseated, and has a headache. What action by the nurse takes priority?
 
  A.
  Administer sliding-scale insulin.
  B.
  Call laboratory for a stat blood sugar.
  C.
  Give the child some orange juice.
  D.
  Perform a urine ketone test.

Question 2

The nurse gave a diabetic child an injection of Humalog insulin at 0700. At what time would it be most important to check on the child?
 
  A.
  0715
  B.
  0800
  C.
  0930
  D.
  1200


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Kingjoffery

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: C
This child is exhibiting signs of hypoglycemia. The nurse should first treat the child instead of waiting for the laboratory to come draw blood. If the nurse has bedside glucose monitoring available, check the glucose first, then treat, but do not wait the several minutes it will take for phlebotomy. Because the child has low blood sugar, do not give insulin. Do not delay by trying to get a urine sample; also, ketones are present in hyperglycemia.

Answer to Question 2

ANS: B
The peak action of humalog insulin is in 55 minutes, so the most appropriate time to check on the child is at 0800.


mp14

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Reply 2 on: Jun 28, 2018
Great answer, keep it coming :)

softEldritch

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Reply 3 on: Yesterday
Gracias!

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