Week 12

Calcium gluconate

After a surgical thyroidectomy a client exhibits carpopedal spasm and tremors. The client reports tingling in the fingers and around the mouth. The nurse suspects a deficiency in which mineral?

Peaked T waves and widened QRS complexes

Which result would the nurse expect to see on the ECG tracing monitor when a client has DKA and a potassium level of 5.4 mEq/L (5.4 mmol/L)

Cold, clammy skin

Which sign or symptom would the nurse expect to find on assessment of a client with a blood glucose level of 55 mg/dL?

Blood glucose monitoring is more accurate.

Why is blood glucose self monitoring preferred over urine glucose testing?

Hypoglycemia

A client who receives NPH insulin every morning reports feeling nervous at 4:30pm. The nurse observes that the client's skin is moist and cool. Which condition is the client likely experiencing?

Frequent yeast infections

A client with diabetes mellitus who shows decreased glucose tolerance is at risk for which complication?

Hypoglycemia

A full-term infant who is large for gestational age (LGA) should be monitored for which risk?

Proximal tubule

In which part of the kidney are glucose and amino acids reabsorbed?

- Administer glucose to the newborn. - Provide artificial ventilation to the newborn. - Set the incubator at a temperature above 22° C.

On a winter morning the nurse finds the sin color of the newborn turning blue. The baby also has difficulty breathing. What should be the immediate nursing interventions to restore a normal condition in the baby?

To maintain blood glucose levels between 120 and 240 mg/dL

What is the purpose of adding dextrose to the IV solution when the child's blood glucose levels fall between 250 to 300 mg/dL?

Sodium bicarbonate

Which chemical buffers excessive acetoacetic acid?

- Polyuria - Polydipsia - Respiratory rate of 26 breaths/min

Which responses indicate that the client receiving total parenteral nutrition is experiencing hyperglycemia?

Hypoglycemic and overweight

The nurse is caring for a diabetes pregnant patient. Which conditions should the nurse expect to find in the patients newborn?

Monitor blood pressure

The nurse administers the prescribes nifedipine (Adalat) to a pregnant patient during labor to reduce uterine contractions (UCs). Which nursing action is the most appropriate after the drug administration?

Miscarriage

The nurse is reviewing the medical records of a pregnant patient with diabetes and notices the patient has poor glycemic control throughout the early weeks of pregnancy. What does the nurse infer that the patient may be at risk for?

Hyperpnea

An unconscious adolescent with type 1 diabetes is brought to the emergency department. The blood glucose level is 742 mg/dL (41.2 mmol/L) Which finding would the nurse expect during the initial assessment?

27 grams

A glucose tolerance test is prescribed for a pediatric client. The prescription reads, "administer glucose 1g/kg." The client weighs 60 pounds. How many grams of glucose will the nurse administer?

Decreased levels of maternal hormones

A lactating patient with type 1 diabetes in her immediate puerperium period undergoes a glucose tolerance test. The test results are nonconclusive. What could be the reason for the test to be nonconclusive?

The drug must be resuspended prior to administration

The nurse is caring for a child diagnosed with diabetes insipidus. The health care provider has orders desmopressin to be administered IM. What does the nurse take into consideration prior to administering the medication?

- Insert the needle at a 45- to 90-degree angle - Inject insulin slowly - After injection, cover site with sterile gauze

The nurse is teaching a woman with gestational diabetes the technique to inject insulin. What should the nurse include in the teaching process?

- A random blood glucose level that is consistently less than 200 mg/d - An 8-hour fasting blood glucose level that is regularly less than 126 mg/dL

The nurse is working with an 11-year-old child who has type 1 diabetes mellitus. The nurse advises the child's parents to monitor the glucose levels at home. What should be the blood glucose levels if the diabetes mellitus is well managed?

Serum glucose level

The nurse observes that a client's urine has a sweet fruity odor. Which information is important to evaluate when performing a further client assessment?

Determine the client's blood glucose level.

Which action would the nurse take when a client with type 1 diabetes reports hunger, thirst, tiredness, and frequent urination?

The fasting blood glucose level is 126 mg/dL.

Which clinical findings in the blood reports of a child indicate diabetes mellitus?

Macrosomia

Which condition is a fetus at risk for if the mother has poor glycemic control later in pregnancy?

Ketoacidosis

Which condition should the nurse be alert for after administering terbutaline (Brethine) to a pregnant patient with diabetes mellitus?

Hypoglycemia

Which finding is indicative of hypothermia in a newborn?

Soy based formula

Which formula is most preferable for an infant that has lactose intolerance?

Somatostatin

Which hormone would the nurse identify as inhibiting insulin and glucagon secretion?

Children with diabetes who participate in active sports can have episodes of hypoglycemia.

Which information would the nurse base a response on to a mother who asks for guidance regarding who to tell of the diagnosis of diabetes of her child, who plays on the soccer team?

Glucose instability

Which is a GI manifestation of infection in the newborn?

Polycythemia

Which is a risk factor of necrotizing enterocolitis in the preterm infant?