Case Study: A 15-year-old young man, John, is brought to the emergency
department in a coma. He is well known to the hospital for multiple prior
admission of uncontrolled type 1 diabetes. He currently has 500 cc/hr urine
output, blood pressure of 82/66 mmHg, and a pulse of 135 bpm and has been
diagnosed with diabetic ketoacidosis. Questions 1 and 2

1. Based on the information above, what is the patient most at risk for?

2. John ha s stabilized and has been put or. a pediatric medical unit. Which of the following should be the priority focus for the nurse whenpreparing health teaching for John?

3.  A nurse is caring for a 14t-year-old young man with type 1 diabetes. The health teaching has focused on reviewing the signs and symptoms ofhypoglycemia. The nurse determines that the adolescent needs further teaching when he says:

4.  Which of the following would be the priority focus for health teaching by the nurse for a child recently diagnosed with type 1diabetes and her family?

5. A nurse is providing health teaching to the mother of a child recently diagnosed with allergies. It is clear that more teaching sessions are required when the mother states:

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6.  A 7-ycar-old child has gastrointestinal symptoms, urticaria, and atopic dermatitis. The symptoms appeared 2 hours after the child ate dinner. The nurse suspects which of the following allergies?

7. You have just admitted a In-year-old child with a spinal cord injury and facial lacerations. The child was sitting in the front passenger seat of a car that was rear ended by another vehicle. The driver of the car had three drinks in 5 hours before the accident. There were four other passengers in the car. Identify the most significant factor that contributed to the child's injuries.

8. A 7-year-old patient has a penicillin allergy. The nurse is aware that all of the following are true of penicillin allergies except:

9. A child who fell though ice and was submerged for longer than 1 minute is admitted to the emergency department diagnosed with hypothermia near drowning. At which point will you best be able to determine the child's outcome?

10. Which of the following would be the appropriate choice for a pediatric patient requiring an isotonic IV solution?

11. A nurse is aware that the normal serum osmolarity of an isotonic solution is within which of the following ranges?

12. A 13-year-old young woman has been admitted to your floor with bradycardia. She ha s a history of eating binges and then purging. She also exercises 3 hours each day. Her resting heart rate is currently 50 bpm. When planning care for this patient, the priority focus should be: