Which is the best nursing action when a child with insulin-dependent diabetes mellitus is sweating, trembling, and pale?
a. Offer the child a glass of water.
b. Give the child 5 units of Regular insulin subcutaneously.
c. Give the child a glass of orange juice.
d. Give the child glucagon subcutaneously.
C
Four ounces of orange juice is an appropriate treatment for the conscious child who is exhibiting signs of hypoglycemia. A glass of water is not indicated in this situation. An easily digested carbohydrate is indicated when a child exhibits symptoms of hypoglycemia. Insulin would lower blood glucose and is contraindicated for a child with hypoglycemia. Subcutaneous injection of glucagon is used to treat hypoglycemia when the child is unconscious.
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The home care nurse is evaluating a post–cerebrovascular accident (CVA) client 1 week after returning to the home from a rehabilitation setting. Which of the following statements, made by the client, most concerns the nurse?
A) "I am so happy to be home, but I am not able to go upstairs to my bedroom." B) "I find it difficult to get up so I am remaining in bed until the home health aide comes." C) "My spouse goes to work in the morning and leaves my lunch at my bed stand." D) "A lot of family is coming to see me, which is nice but makes me very tired."
A patient with depersonalization disorder tells the nurse, "It's starting again. I feel as though I'm going to float away." The nurse should help the patient by:
a. encouraging meditation. b. administering an anxiolytic medication. c. helping the patient visualize a pleasant scene. d. helping the patient focus on the here and now.
A client with late moderate-stage dementia has been admitted to a long-term care facility. Which of the following nursing interventions will help the client to maintain optimal cognitive function?
a. Discuss pictures of children and grandchildren with the client. b. Do word games or crossword puzzles with the client. c. Provide the client with a written list of daily activities. d. Watch and discuss the evening news with the client.
To administer an IV solution to your patient you will need to know the total ________ of the IV fluid, the length of ________ over which it is to be given, the calibration of the ________, and the ________.
What will be an ideal response?