RN Metabolism 3.0 Case Study Test Part 1 and Part 2

A nurse is monitoring the blood glucose of a child who received orange juice 15 min ago for hypoglycemia. The child's blood glucose is now 105 g/dL. Which of the following actions should the nurse take? A) Provide the child with a snack containing a starch and protein. B) Provide the child with an additional 4 oz of orange juice. C) Check the child's urine for ketones. D) Monitor the child's breath for a fruity odor.

Answer: A

A nurse is preparing to administer insulin to a school-age child who is underweight. Which of the following actions should the nurse plan to take to ensure injection of the medication into the subcutaneous tissue? A) Pinch the child's skin at the site of injection. B) Insert the needle at a 15° angle. C) Spread the skin taut at the injection site. D) Use a 2.54 cm (1 in) needle for injection.

Answer: A

A nurse administered NPH insulin to a client at 0900. At which of the following times should the nurse monitor for the peak effect of the insulin? A) 1100 B) 1600 C) 2400 D) 0300

Answer: B

A nurse is caring for a child who has a new diagnosis of type 1 diabetes mellitus. The nurse should identify that the child is at greatest risk for hypoglycemia at which of the following times? A) Early in the morning B) Before meals C) When thirst and increased urination are present D) one hour after taking an intermediate acting insulin

Answer: B

A nurse is caring for a child who has type 1 diabetes mellitus. The child's guardian calls to report that the child is experiencing an episode of hypoglycemia. Which of the following manifestations should the nurse expect? A) Thirst B) Pallor C) Dry mucous membranes D) Kussmaul respirations

Answer: B

A nurse in a pediatric office is providing teaching to an adolescent about insulin management. Which of the following statements should the nurse make? A) "U-100 insulin can be administered with a tuberculin syringe." B) "Insulin detemir can be substituted for regular insulin." C) "Regular insulin should be administered within 30 minutes of a meal." D) Insulin needs may decrease when infection is present."

Answer: C

A nurse is providing teaching to the guardian of a child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the guardian indicates an understanding of the teaching? A) "My child's body cannot properly use the insulin they are making." B) "My child will be able to control their blood glucose by taking oral antidiabetic agents." C) will need to feed my child snacks between meals and at bedtime." D) "We will need to decrease the number of sports activities my child participates in."

Answer: C

A nurse is planning a teaching session for the guardian of a child who has type 1 diabetes mellitus. Which of the following information should the nurse plan to include? A) The amount of regular insulin received in the mornings will be determined by the child's fasting blood glucose levels. B) The child should consume three large meals daily. C) HA levels provide an idea of blood glucose control over a 4-month period. D) Regular and NPH insulin can be combined into the same syringe.

Answer: D

A nurse is providing teaching to the guardian of a child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements should the nurse make? A) "When your child has low blood sugar, give them 8 ounces of fruit juice." B) "if your child becomes unresponsive due to hypoglycemia, administer glucagon subcutaneously." C) "Your child's insulin needs should remain consistent during times of illness." D) "You should warm your child's finger before checking their blood glucose."

Answer: D

A nurse is reviewing the laboratory report of a school-age child who is being tested for type 1 diabetes mellitus. Which of the following findings should the nurse identify as an indication of type 1 diabetes mellitus? A) An 8-hr fasting blood glucose of 120 mg/dL| B) A random blood glucose value of 150 mg/dL accompanied by polyuria C) An oral glucose tolerance of 200 mg/dL for a 4-hr sample D) An HbAlc level of 9%

Answer: D