To be an effective nurse with a child who is dying, it is first necessary to:

A nurse is reviewing the blood sugar test results of a child diagnosed with type 1 diabetes:  Before meal: 84 mg/dL (4.66 mmol/l)  1 hour after meal: 160 mg/dL (8.88 mmol/l)  2 hours after meal: 189 mg/dL (9.99 mmol/l)  Middle of the night: 102 mg/dL (5.11 mmol/l) Which result would lead the nurse to notify the health care provider?

The nurse is talking with a parent of an adolescent who is newly diagnosed with type 2 diabetes and asks, “How could this happen? No one in our family has diabetes.” What response would be appropriate?

A child on your floor has new onset Type I diabetes. She is started on insulin at the following doses: Mealtime dose: Administer 1 unit regular insulin for every 15 grams carbohydrates. Correction dose: If blood sugar is over 150 at mealtime, administer 0.5 units regular insulin for every 50 points over 150 in addition to mealtime dose. You go to check your patient’s blood sugar at lunchtime and it is 201. The child is going to have a grilled cheese sandwich, for a total of 30 grams carbohydrates. How much insulin will you administer to this patient?

The nurse is caring for a child with a broken wrist that has just been placed in a cast. The nurse would elevate the arm to:

The nurse is teaching a child with type 1 diabetes mellitus to administer insulin. The child is receiving a combination of short-acting and long-acting insulin. The nurse knows that the child has appropriately learned the technique when the child:

A pediatric client has just been diagnosed with diabetes. What would the nurse do first?

The parents of a 5-year-old boy who is very near death are at the bedside.The parents ask, “Can he hear what we are telling him?” Which response by the nurse would be most appropriate?

Shortly after delivery, a newborn is diagnosed with hypocalcemia. What manifestation will the nurse assess in this client?

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