Diabetes Mellitus in Children
Diabetes Mellitus in Children ( 31 Questions)
The child is lethargic and has a headache.
The nurse assesses the child's vital signs and finds that the blood pressure is elevated and the respiratory rate is slow.
Which of the following interventions should the nurse take first?
No explanation
Elevating the head of the bed 30 degrees is the most appropriate initial intervention for a child with DKA experiencing cerebral edema. Cerebral edema is a serious complication of DKA, and it can lead to increased intracranial pressure. Elevating the head of the bed helps to reduce intracranial pressure by promoting venous drainage from the brain. This intervention should be initiated promptly to help alleviate the symptoms and prevent further complications. Administering mannitol (choice A) or oxygen (choice C) can be considered later, but elevating the head of the bed is the priority. Monitoring vital signs (choice D) is important but not the first action in addressing elevated intracranial pressure.
No explanation
No explanation
Choice B rationale:
Elevating the head of the bed 30 degrees is the most appropriate initial intervention for a child with DKA experiencing cerebral edema.
Cerebral edema is a serious complication of DKA, and it can lead to increased intracranial pressure.
Elevating the head of the bed helps to reduce intracranial pressure by promoting venous drainage from the brain.
This intervention should be initiated promptly to help alleviate the symptoms and prevent further complications.
Administering mannitol (choice A) or oxygen (choice C) can be considered later, but elevating the head of the bed is the priority.
Monitoring vital signs (choice D) is important but not the first action in addressing elevated intracranial pressure.