Although the child with type 1 diabetes had her prescribed ...

[CORALGRILL2014]

Although the child with type 1 diabetes had her prescribed insulin at 7:30 AM, the child is complaining of hunger and thirst and is drowsy at 10:30 AM. What should the nurse do first?
 
  a. Walk the patient in the hall for 10 minutes.
  b. Allow the patient a short nap.
  c. Give her a cup of orange juice.
  d. Test her blood with a glucometer and give insulin according to the sliding scale.

Question 2

Which comment made by a school-age child indicates that he needs more teaching about diabetes mellitus and exercise?
 
  a. I carry a piece of hard candy with me in case I start to feel shaky.
  b. I make sure I have emergency money when I have soccer practice or a game.
  c. Sometimes I skip my breakfast when I have a game in the morning.
  d. I play in soccer games that are scheduled after dinner.

[s.meritte]

Answer to Question 1

ANS: C
The immediate remedy is to give orange juice to raise the blood glucose. Giving more sugar will increase the blood glucose in a hyperglycemic child. Walking exercise will use up even more glucose. The treatment for hyperglycemia is to give the patient more insulin.

Answer to Question 2

ANS: C
Blood glucose is high after meals. The child with type 1 diabetes mellitus who skips a meal before exercise is at risk for hypoglycemia.

[CORALGRILL2014]

Correct answers!

[s.meritte]

Great! Please up vote