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A school-aged child with type 1 diabetes feels dizzy and sweaty during recess. What is the best initial nursing action?

This question was previously asked in
RRB Paramedical 2025 Nursing Superintendent Question Paper PDF (12-Mar-2026) (Shift 3)
The correct answer is

Provide a fast-acting carbohydrate snack

Dizziness and sweating in a child with type 1 diabetes, especially during activity at recess, suggest hypoglycaemia.

The first action is to give 15 g of a fast-acting carbohydrate (glucose tablets, fruit juice or sugar), then recheck blood glucose after 15 minutes (the 15-15 rule).

Extra insulin and exercise would lower glucose further, and restricting fluids does not help.

Hence, Provide a fast-acting carbohydrate snack.

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Important Questions from Child Health Nursing

  1. During orogastric feeding in a neonate, the nurse observes coughing and cyanosis. What should be the nurse’s immediate response?

  2. A nurse at an under five clinic observes a child with below-average growth and missed immunizations. What should be the nurse’s most appropriate intervention?

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