Child Endocrine Study Guide Test.

Child Endocrine Study Guide Test. 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? - CORRECT ANSWER Eat a small box of raisins or drink a cup of orange juice before soccer practice. 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? - CORRECT ANSWER Encourage the child to drink liquids. A health care provider 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? - CORRECT ANSWER Checks the amount of urine output 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? - CORRECT ANSWER Fruity breath odor and decreasing level of consciousness A mother brings her 3-week-old infant to a clinic for a phenylketonuria rescreening blood test. The test indicates a serum phenylalanine level of 1 mg/dL (60.5 mcmol/L). The nurse reviews this result and makes which interpretation? - CORRECT ANSWER It is negative. 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? - CORRECT ANSWER Normal saline 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? - CORRECT ANSWER Remove excess clothing and blankets from the child.