A nurse in a clinic is collecting data from an adolescent who has type 1 diabetes mellitus.Which of the following findings is the priority for the nurse to report?

Client's current blood glucose is 220 mg/dL

Client is exhibiting Kussmaul respirations

Client reports vomiting once that day

Client reports frequent urination

Answer and Explanation

The Correct Answer is B

Choice A reason:

A blood glucose level of 220 mg/dL is elevated and should be addressed, but it may not be an immediate priority compared to the presence of Kussmaul respirations.

Choice B reason.

Correct. Kussmaul respirations are a sign of diabetic ketoacidosis (DKA), a severe complication of diabetes. This requires immediate attention and intervention.

Choice C reason:

Vomiting is a concerning symptom, but it may not be as immediately life-threatening as Kussmaul respirations.

Choice D reason:

Frequent urination is a common symptom of diabetes, but it may not require immediate intervention unless it is accompanied by other severe symptoms.

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Correct Answer is A

Explanation

A. Being adopted can contribute to various emotional and social challenges for a child, but it is not a direct risk factor for physical maltreatment.

B. Prematurity is identified as a potential risk factor for physical maltreatment. Premature infants may have developmental delays or health issues that can increase stress on caregivers, potentially leading to maltreatment.

C. Myopia does not pose a risk factor for physical maltreatment; it is a common vision issue that does not correlate with maltreatment.

D. Acute otitis media is a common childhood illness and is not associated with an increased risk of physical maltreatment. It may cause discomfort and frustration but does not directly relate to the potential for maltreatment.

A. "Offer your child frequent breaks in activity during the day." B. "Provide your child with long-term goals to increase self-esteem." C. "Administer your child's medication at bedtime to prevent insomnia." D. "Schedule a different routine for your child each day." E. "Schedule a different routine for your child each day."

Correct Answer is A

Explanation

Choice A reason:

Children with attention deficit hyperactivity disorder (ADHD) benefit from frequent breaks in activities. Short, focused periods of activity followed by breaks can help them maintain attention and focus.

Choice B reason:

While providing long-term goals is important for building self-esteem, it may not directly address the child's learning style associated with ADHD.

Choice C reason:

Administering medication at bedtime may not be the most effective timing for managing ADHD symptoms. The timing and dosing of ADHD medications should be discussed with the child's healthcare provider.

Choice D reason:

Children with ADHD benefit from consistent routines rather than constantly changing ones. A predictable routine can help them feel more organized and focused.

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A nurse in a clinic is collecting data from an adolescent who has type 1 diabetes mellitus.Which of the following findings is the priority for the nurse to report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

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