Pediatrics: Nursing Care of Children Final question n answers graded A+

Pediatrics: Nursing Care of Children FinalA nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has a current blood glucose level of 250mg/dL. Which of the following actions should the nurse take? A. Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion. B. Give potassium as a rapid IV bolus. - Giving potassium as a rapid IV bolus is contraindicated because it can result in cardiac arrest. C. Administer 3 units of ultralente insulin subcutaneously. - Ultralente is long-acting insulin that takes 6 to 14 hr to begin working. Regular insulin will be given via IV infusion until the blood sugar reaches 250 to 300 mg/dL. If the regular insulin infusion continues, hypoglycemia can occur. D. Obtain an HbA1c level stat. - An HbA1c level measures the blood glucose level over the last 2 to 3 months and will not give useful information for the client's current status. - correct answer A. Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion. - When the child's blood glucose level falls between 250 and 300 mg/dL, the nurse should begin IV infusion of 5% or 10% dextrose in 0.9% sodium chloride. The goal is to maintain blood glucose levels between 120 and 240 mg/dL. If dextrose is not added, hypoglycemia might occur. A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take? A. Apply a warm cloth to the bridge of the child's nose. - Applying a warm cloth to the bridge of the nose causes vasodilation, which can increase the bleeding. B. Tilt the child's head back. - Tilting the head back allows blood to flow down the back of the throat, which can cause nausea. C. Apply continuous pressure to the child's nose for at least 10 min.