RN Nursing Care of Children Type 1 Diabetes Mellitus Proctored Exam

Nurse Tammy is assessing Derek for other manifestations of diabetes mellitus. For which of the following manifestations should Nurse Tammy assess? (select all that apply) - ANSWERSBlurred vision, Increased thirst, excessive hunger, slow wound healing Nurse Tammy is preparing to review the results of Derek's urine dipstick. Which of the following results should Nurse Tammy expect as an indication of DM? - ANSWERSPositive ketones Nurse Tammy is preparing to preform a fingerstick to check Derek's blood glucose level. Identify the order in which Nurse Tammy should perform the following steps. (reorder the steps by dragoon them into the desired sequence.) - ANSWERS1.Turn on glucometer 2.Cleanse the puncture site 3.Puncture the skin w/lancet ly squeeze the site drop of blood to test strip gentle pressure to the puncture site w/ gauze Nurse Chris is determining the insulin to administer to Derek. Prescribed is insulin 0.4units/kg/day subq in four divided doses. Derek weighs 88 lb. Which of the following dosages should nurse Chris plan to administer - ANSWERS4 Nurse Chris is teaching Deborah and Derek about the hemoglobin A1c. Which of the following statements by Deborah indicates an understanding of the teaching? - ANSWERSis A1C is 7, it means his BS are well controlled Nurse Chris is selecting a snack for Derek. Which of the following snacks should Nurse Chris choose? - ANSWERSSix whole grain crackers w/ 2oz mild cheddar cheese Nurse Chris is teaching Deborah about a fasting blood glucose test. Which of the following statements indicates Deborah's understanding of the teaching - ANSWERSFasting glucose should be between 70 - 110mg/dl Nurse Chris is responding to Deborah's report that Derek is tearful, irritable, and not acting like himself. Nurse Chris observes that Derek is diaphoretic. Which of the following actions should Nurse Chris take? - ANSWERSGive 4oz OJ Chris is teaching Deb and Derek about insulin onset and peak times. - ANSWERSRegular insulin start working within 30 minutes after injection Chris is teaching Derek and Deb about injection site rotation and insulin injection techniques. Which of the following statements by Derek indicates an understanding of the teaching? - ANSWERSI should inject the insulin straight in at a 90* angle Nurse Chris is teaching Deb and Derek about insulin pens - ANSWERSDerek should store the pen at room temp once its been opened Nurse teaching Derek and Deb about insulin pumps. - ANSWERSI would need to change the insulin pump needle about every 2 days Chris is teaching Derek and Deborah about DM during illness. - ANSWERSDerek should check his blood level every 3 hours when he's sick Teaching about exercise and DM. - ANSWERSI should eat a complex carb snack before i exercise addressing derek concerns about his peers making fun of him - ANSWERSSometime a person who has diabetes feels embarrassed when they hate to check their sugar in from of others. Have you ever felt that way? Addressing Derek's concerns about finger sticks - ANSWERSUse a cotton ball to wipe away the first drop of blood from the puncture site