Question

The nurse should implement which interventions for a child older than 2 years with type 1 diabetes mellitus who has a blood glucose level of 60 mg/dL (3.4 mmol/L)? Select all that apply.

1.Administer regular insulin. 2.Encourage the child to ambulate.
3.Give the child a teaspoon of honey.
4.Provide electrolyte replacement therapy intravenously.
5.Wait 30 minutes and confirm the blood glucose reading. 6.Prepare to administer glucagon subcutaneously if unconsciousness occurs.

Answer 1

The nurse should administer regular insulin, give the child a teaspoon of honey, and prepare to administer glucagon subcutaneously if unconsciousness occurs for a child with type 1 diabetes mellitus and a blood glucose level of 60 mg/dL (3.4 mmol/L).

Step-by-step explanation:

The nurse should implement the following interventions for a child older than 2 years with type 1 diabetes mellitus who has a blood glucose level of 60 mg/dL (3.4 mmol/L):

1. Administer regular insulin: Insulin is necessary to bring the blood glucose level back to normal.
2. Give the child a teaspoon of honey: Honey contains glucose, which can quickly raise the blood sugar level.
3. Prepare to administer glucagon subcutaneously if unconsciousness occurs: Glucagon is a hormone that helps raise blood sugar levels in case of severe hypoglycemia.

The other options are not appropriate interventions for hypoglycemia in this situation. Encouraging the child to ambulate may lower the blood glucose further, providing electrolyte replacement therapy intravenously is not necessary unless there are severe symptoms, and waiting 30 minutes to confirm the blood glucose reading may delay appropriate treatment.