RN VATI Nursing Care of Children /Nursing Care of Children Final ATI

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1) A 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. Admi... nister 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. 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. 2) A nurse is caring for a child who has Tetralogy of Fallot. Which of the following laboratory values should the nurse expect to find? A. Platelet count of 20,000/mm3 A platelet count of 20,000/mm3 is below the ex..................continued [Show More]

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