Metabolic and Endocrine Problem

A school-age child with type 1 diabetes mellitus has soccer practice and the school nurse provides instructions regarding how to prevent hypoglycemia during practice. Which should the school nurse tell the child to do?

The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child’s urine and it was positive for ketones. The nurse should instruct the mother to take which action?

A pediatrician prescribes an intravenous (IV) solution of 5% dextrose and half-normal saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before administering this IV prescription?

An adolescent client with type 1 diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note?

A mother brings her 2-week-old infant to a clinic for a phenylketonuria rescreening blood test. The test indicates a serum phenylalanine level of 1mg/dL (60.5 mcmol/L). The nurse reviews this result and makes which interpretation?

A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of intravenous (IV) infusion?

The nurse has just administered ibuprofen to a child with a temperature of 102° F (38.8°C). The nurse should also take which action?

A child has fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficit is resolving if which finding is noted?

The nurse should implement which interventions for a child older than 2years with type 1 diabetes mellitus who has a blood glucose level of 60mg/dL (3.4 mmol/L)? Select all that apply.

1. Administer regular insulin.
2. Encourage the child to ambulate.
3. Give the child a teaspoon of honey.
4. Provide electrolyte replacement therapy intravenously.
5. Wait 30 minutes and confirm the blood glucose reading.
6. Prepare to administer glucagon subcutaneously if unconsciousness occurs.