Nokea
What does the nurse instruct a 12-year-old to do when teaching how to administer insulin?
- A. Make sure injection sites are 6 inches apart.
- B. Select an injection site that was recently exercised.
- C. Inject the needle at a 90-degree angle.
- D. Give the injection deep into the muscle.
Correct Answer: C
Rationale: Children often find it easier to inject insulin at a 90-degree angle for proper administration.
You may also like to solve these questions
Which statement made by a 7-year-old child with type 1 diabetes mellitus indicates a need for more teaching?
- A. My pancreas is sick and needs insulin until it is well.'
- B. I will need to take my insulin every day.'
- C. I need to keep a piece of candy in my pocket in case I start to feel shaky.'
- D. My mom has to give me insulin shots twice a day.'
Correct Answer: A
Rationale: The child with type 1 diabetes mellitus has an insulin deficiency and will require lifelong management, not a temporary condition.
The home health nurse is monitoring an 8-month-old child with hypothyroidism taking levothyroxine (Synthroid). Which symptoms does the nurse recognize as signs of overdose? (Select all that apply.)
- A. Tachycardia
- B. Irritability
- C. Vomiting
- D. Weight gain
- E. Diaphoresis
Correct Answer: A,B,E
Rationale: Tachycardia, irritability, and diaphoresis are signs of levothyroxine overdose, while weight gain and vomiting are not.
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.
Correct Answer: C
Rationale: The immediate remedy is to give orange juice to raise the blood glucose, addressing symptoms of hypoglycemia.
Which general dietary measure should the nurse include in a teaching plan for the child with type 1 diabetes mellitus?
- A. Control intake of carbohydrates and consume fewer calories.
- B. Focus on complex carbohydrates and eat foods high in fiber.
- C. Obtain most calories from proteins and fats.
- D. Eat a diet low in fat and low in complex carbohydrates.
Correct Answer: B
Rationale: The nutritional needs of a child with diabetes mellitus focus on complex carbohydrates and high-fiber foods to help manage blood glucose levels.
The nurse is preparing to administer a long-acting insulin. Which insulin is considered long acting?
- A. Lispro
- B. Aspart
- C. Glargine
- D. Regular
Correct Answer: C
Rationale: Insulin glargine is a long-acting insulin, unlike Lispro, Aspart, and Regular which are rapid or short-acting.