NCLEX
A medication administered at bedtime to simulate the natural timing of hormone release.
What is growth hormone?
A symptom that presents with the patient complaining of excessive thirst.
What is polydipsia?
The likely classification for a 7-year-old child diagnosed with diabetes mellitus.
What is type 1 diabetes?
A complication that can occur with a diabetic patient in the presence of an infection or other illness, regardless of proper management of their diabetes.
What is diabetic ketoacidosis?
What is subcutaneously?
A medication that cannot be taken orally because it is a protein and would be broken down by gastric juices.
What is insulin?
A symptom that presents with the patient complaining of feeling constantly hungry.
What is polyphagia?
The time frame a diabetic patient is given to eat their meal after rapid-acting insulin has been administered.
What is 30 minutes to 1 hour?
This is the first action taken by the nurse for a diabetic pediatric patient who calls out and states he is sweating and shaky.
What is give him some orange juice?
The age at which a child can self-inject insulin with proper supervision.
What is 7 years old?
Blood glucose levels above 160 mg/dL, polyuria, polydipsia, polyphagia, a fruity odor to the breath, fatigue, abdominal pain, fatigue, red lips/flushed face, dehydration, disorientation, drowsiness progressing to coma, and deep and rapid (Kussmaul's) respirations.
What are signs and symptoms of hyperglycemia?
Occurs when the glucose cannot enter the cells without the help of insulin, so glucose remains in the bloodstream.
What is hyperglycemia?
A factor the nurse should consider when discussing the patient's condition for a 16-year-old diabetic girl who has been admitted with a blood sugar of 800.
What is rebellion?
Specific teaching points to include as the nurse educating a diabetic pediatric patient about management of their diabetes prior to exercising.
What are eating a snack with complex carbs and checking their blood glucose?
A blood test that reflects glycemic levels over several months.
What is glycosylated hemoglobin test (HgbA1C)?
Changes that can occur in the subcutaneous tissue at the injection site that can be prevented by proper rotation of injection sites.
What are lipoatrophy or lipohypertrophy?
This affects the intestinal tract, causing chronic constipation. Also, this makes an infant feel floppy when handled.
What is hypotonia?
What are carbohydrates?
The peak action time frame for NPH insulin.
What is 4-12 hours?
An important teaching point to give a patient with type 2 diabetes mellitus that is part of the triad of treatment for these patients.
What is daily exercise?
Checking this will ensure a child does not develop hypoglycemia during volleyball practice.
What are blood glucose levels?
Occurring fairly often in children with diabetes, this can occur if the disease proceeds unrecognized. It is manifested by ketonemia, may be precipitated by a secondary infection, and may or may not result in the patient being in a coma.
What is ketoacidosis?
A key sign of hyperglycemia.
What is fruity odor to the breath?
What is a cold?
The medication used to treat hypothyroidism that the nurse should provide thorough education to the patient and family on.
What is levothyroxine?