HESI RN CASE STUDY DIABETES TYPE 1 EXAM QUESTIONS AND ANSWERS 2024|GUARANTEED SUCCESS
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Course
Gestational diabetes HESI
Institution
Gestational Diabetes HESI
According to Erikson, to meet the psychosocial needs of a 5-year-old child in relation to a diagnosis of diabetes, which of the following should the nurse implement?
Allow the client to check blood glucose levels independently whenever possible.
This meets the psychosocial needs of a 5 to 8-yea...
HESI RN CASE STUDY DIABETES TYPE 1 EXAM QUESTIONS AND ANSWERS 2024
According to Erikson, to meet the psychosocial needs of a 5-year-old child in relation to a diagnosis of diabetes, which of the following should the nurse implement? - answer Allow the client to check blood glucose levels independently whenever possible.
This meets the psychosocial needs of a 5 to 8-year-old. According to Erikson, this stage of development is initiative vs. guilt. This stage focuses on children's abilities, helping them make realistic and appropriate choices, to allow independence.
Which immunizations would the nurse anticipate administering to Anya? - answer IVP , MMR, Varicella, & DtaP (appropriate for 4-6 years of age)
Which assessment findings are of concern to the nurse? - answer Vision results 20/50
Ketones +2 in the urine
Serum Glucose of 210mg/dL
What nursing action provides the most complete health profile for this family? - answer Complete a genome and ecomap of the family
The nurse must briefly explain to the parents what is occurring in Anya's body. What is the best explanation by the nurse? - answer "The body is not able to make enough insulin and your child will need to take injections."
Type 1 diabetes mellitus is an auto-immune disease caused by the destruction of insulin-
producing pancreatic β cells. The client is unable to make insulin and will require insulin injections for the rest of their life. What approach to care is most indicated for Anya and her parents? - answer Management of care is a collaboration between members of an interdisciplinary team
Anya's initial plan of treatment includes 3 main elements. What elements are implemented by the interdisciplinary team? - answer Insulin therapy, supervision, and nutrition
When establishing the nursing plan of care, what is the most significant potential problem related to this new diagnosis? - answer Risk for hypoglycemia related to the illness.
The client is very drowsy so the mother performs a blood glucose check. The result is 42. The test is repeated by the nurse, who gets the same result. Which of the following actions are appropriate? - answer Give the client 4 oz of apple juice.
Apple juice will raise blood sugar quickly. If the client is unable to drink the apple juice, glucagon
will be used.
Give the client 0.5 mg of glucagon
This is an appropriate action for a child with very low blood glucose.
Considering the potential problem of hypoglycemia, what nursing intervention has the highest priority? - answer Emphasize the importance of frequent blood glucose monitoring.
The frequent monitoring of blood glucose helps to establish an appropriate dosage of insulin and can prevent episodes of hypoglycemia.
What element is essential to considering when teaching to Anya - answer Stage of development
When evaluating the effectiveness of parental education, what result demonstrates an understanding of the care of a child with diabetes? - answer The parents can describe the importance of insulin and demonstrate the correct technique for injections.
A demonstration by the parents of their knowledge of insulin and their ability to perform injections is an indicator of an understanding of the care of a child with diabetes.
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