A Spanish-speaking family does not understand why their chil…

A Spanish-speaking family does not understand why their child needs a bone marrow biopsy. The NP asks the 15-year-old patient to translate for the informed consent conversation because a professional interpreter has not yet arrived. Which principle is primarily violated?

A 5-year-old with Type 1 diabetes is being treated for moder…

A 5-year-old with Type 1 diabetes is being treated for moderate DKA (pH 7.18, glucose 410 mg/dL). She is receiving an insulin infusion at 0.1 units/kg/hr and IV fluid replacement. At hour 7 of treatment, she develops a new headache and becomes increasingly difficult to rouse. HR is 54 bpm and her pupils are unequal. What is the MOST appropriate immediate intervention?

A previously healthy 9-month-old presents unresponsive after…

A previously healthy 9-month-old presents unresponsive after 18 hours of fever and decreased oral intake. Bedside glucose is 15 mg/dL. Urine ketones are ABSENT. After IV glucose, the child recovers rapidly. CBC is normal. Ammonia is mildly elevated at 85 μmol/L. AST is 210 U/L. Which diagnosis BEST explains this presentation, and what is the PRIMARY long-term preventive strategy?