Pediatric Metabolic Disorders NUR 2310 Flashcards
the mother is concerned about the height of her 11 yr old son. his brothers were 5ft at this age but he is 4ft 3. what medicine would the nurse think of
A. levothyroxine
B. metropolol
C.medazolam
Growth hormone; levothyroxine) Growth hormone (GH)/somatropin (Humatrope)
[GOOGLE]Somatropin (Genotropin, Humatrope, Norditropin, Nutropin, Omnitrope, Saizen, TevTropin)
patient comes in the hospital with her child. her 14 yr old daughter. she reports the child hs been vomiting and seems like shes in a stupor. the nusr asceses the child. she has abnormal breathing and decreased skin turgor. what condition does these signs signal
Diabetic Ketoacidosis
Anorexia, nausea and vomiting
Lethargy, stupor, altered level of consciousness, confusion
Decreased skin turgor*
Abdominal pain
Kussmaul respirations and air hunger*
Fruity (sweet-smelling) or acetone breath odor**
Presence of ketones in urine and blood
Tachycardia, and if left untreated, coma and death*
the nurse recognise the SS for DKA, what test is needed to check her glucose level?
A. blood glucose test
B.Hgb A1C
C. urinalysis
blood glucose test. this is an emercengy sutiation that needs a reading immidiately
which of the following will the nurse administer to the child in DKA?
A d etemir(levemir)
B. Regular(humulinR)
C. Glulisine(apidra)
Glulisine(apidra) is a rapid acting insulin (S11). the pt needs the glucose to go down fast therefore a rapid acting insulin is required
After hospital discharge, the parent of a child newly diagnosed with type 1 diabetes mellitus telephones the nurse because the child is acting confused and very sleepy. Which emergency measure would the nurse suggest the parent carry out before bringing the child to see the health care provider?
Give the child a glass of orange juice.
Explanation:
The child is experiencing symptoms of hypoglycemia. Administering a form of glucose would help relieve them. This can be glucose tablets or a rapidly absorbable carbohydrate such as orange juice. This should be followed by a snack of complex carbohydrates and protein within 30 to 60 minutes. Insulin cannot be absorbed when taken orally and administering insulin would make the hypoglycemia worse. Withholding treatment waiting to get to the health care provider’s office may cause the hypoglycemia to worsen and be a risk to the child’s life. Children with diabetes and their parents need to be taught to recognize and treat the symptoms of hypoglycemia.
The nurse measures the client’s blood glucose level prior to breakfast. The measurement obtained is 130 mg/dl. The orders read to administer 2 units of Humalog insulin for a blood glucose of 100 to 150 mg/dl. How soon should the nurse ensure that the client eats breakfast after receiving insulin?
within 15 to 30 minutes
Explanation:
Humalog is a rapid-acting insulin. The onset of Humalog insulin is within 15 minutes and the peak level is achieved within 30 to 90 minutes; therefore, the client should eat within 15 to 30 minutes to avoid a hypoglycemic reaction.
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A 10-year-old child has been diagnosed with type 1 diabetes. The child is curious about the cause of the disease and asks the nurse to explain it. Which explanation will the nurse provide?
“Special cells in a part of your body called the pancreas cannot make a chemical called insulin, which helps control the sugar level in your blood.”
Explanation:
When providing instruction to a child, the nurse must consider the developmental age. Type 1 diabetes is a disorder that involves an absolute or relative deficiency of insulin, thus the blood glucose level remains high if an appropriate amount of insulin is not administered to the client. With type 2 diabetes, the body produces an adequate amount of insulin; however, the body is resistant to using the insulin properly to keep circulating blood glucose levels at a normal level. The rest of the statements provide incorrect information regarding the pathophysiology of type 1 diabetes.
The nurse has told the 14-year-old adolescent with diabetes that the doctor would like to have a hemoglobin A1C test performed. Which comment by the client indicates that she understands what this test is for?
“This will tell my doctor what my average blood glucose level has been over the last 2 to 3 months.”
Explanation:
Hemoglobin A1C (HgbA1C) provides the physician or nurse practitioner with information regarding the long-term control of glucose levels, as it provides an average of what the blood glucose levels are over a 2 to 3 month period. No fasting is required. Desired levels for children and adolescents 13 to 19 years are less than 7.5%.
A nurse is teaching a child with type 1 diabetes mellitus how to self-inject insulin. Which method should she recommend to the child for regular doses?
Subcutaneously in the outer thigh
Explanation:
Insulin is always injected SC except in emergencies, when half the required dose may be given IV. SC tissue injection sites used most frequently in children include those of the upper outer arms and the outer aspects of the thighs. The abdominal SC tissue injection sites commonly used in adults can be adequate sites but most children dislike this site as abdominal skin is tender.
