A child with diabetes reports that he is feeling a little shaky. Further assessment reveals that the child is coherent but with some slight tremors and sweating. A fingerstick blood glucose level is 70 mg
What will be an ideal response?
dl. What would the nurse do next?/ Give 10 to 15 grams of a simple carbohydrate.
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The nurse is caring for an alert client who has been in bed for three days. When performing a focused assessment, the nurse checks the skin of the legs and feet for which of the following?
1. Dependent edema 2. Foot drop 3. Varicose veins 4. Cyanosis
The nurse is planning a program to encourage exercise among high school students. Teachers and parents will be involved in implementing the program. Which activity best describes the third level of acceptance of this health care program?
1. Marketing the program to the high school students. 2. Convincing the principal of the benefits of the program. 3. Meeting with the teachers to explain the program. 4. Encouraging parents to promote the program.
A nurse assessing a client with alcohol dependence observes that the pulse rate of the client is 120 beats per minute and the diastolic blood pressure is 120 mm Hg. Which of the following actions does this observation suggest?
A) Monitor for withdrawal symptoms. B) Monitor fluid intake and output. C) Monitor for seizure activity, hallucinations, and tremors. D) Consult with the physician regarding the need for a sedative.
A nurse working on the pediatric unit should be aware that children admitted with which of the following assessment findings are suggestive of physical child abuse? Select all that apply
a. Bruises in various stages of healing b. Bruises over the shins or bony prominences c. Burns on the palms of the hands d. A fracture of the right wrist from a sports accident e. Rib fractures in an infant