A nurse is caring for a 10-year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses should the nurse make?
You sound overwhelmed. Let’s talk about this some more.
I agree. His well-being is the most important.
Tell me more about how you are feeling about your son’s activities.
You might want to use tutors to home-school him.
The Correct Answer is C
Choice A reason: You sound overwhelmed. Let’s talk about this some more. This response acknowledges the mother’s feelings and opens the door for further discussion. However, it does not directly address her specific concerns about physical activities. While it is empathetic, it lacks the focus needed to explore her worries about her son’s participation in school activities.
Choice B reason: I agree. His well-being is the most important. This response validates the mother’s concern but may inadvertently reinforce her fears without providing a balanced perspective. It does not encourage a discussion about the benefits of physical activity for children with diabetes or how to manage his condition safely during such activities.
Choice C reason: Tell me more about how you are feeling about your son’s activities. This response is the most appropriate as it invites the mother to express her specific concerns and feelings. It shows empathy and a willingness to understand her perspective, which can lead to a more productive conversation about managing her son’s diabetes while allowing him to participate in physical activities.
Choice D reason: You might want to use tutors to home-school him. This response suggests an alternative that may not be necessary or beneficial. Home-schooling might isolate the child and prevent him from enjoying social interactions and physical activities that are important for his overall development. It does not address the mother’s concerns directly and may not be the best solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A: Time the duration of the seizure
Reason: Timing the duration of a seizure is crucial for several reasons. Firstly, it helps in determining the type of seizure and its severity. Seizures lasting more than 5 minutes are considered medical emergencies and may require immediate intervention to prevent complications such as status epilepticus, which is a prolonged seizure that can cause brain damage or death. By recording the start and end times, healthcare providers can assess the effectiveness of treatments and make necessary adjustments. Additionally, this information is vital for documenting the patient’s medical history and for future reference in managing the condition.
Choice B: Administer supplemental oxygen to the client
Reason: Administering supplemental oxygen is essential during a seizure, especially when the client’s oxygen saturation levels drop below the normal range of 95-100%. In the provided scenario, the client’s oxygen saturation is 86%, which is significantly low and indicates hypoxemia. Hypoxemia can lead to further complications, including brain damage due to insufficient oxygen supply. Providing supplemental oxygen helps maintain adequate oxygen levels in the blood, ensuring that vital organs, including the brain, receive enough oxygen to function properly. This intervention is critical in preventing hypoxic injuries and promoting recovery post-seizure.
Choice C: Place a tongue depressor in the client’s mouth
Reason: Placing a tongue depressor in the client’s mouth during a seizure is not recommended and can be dangerous. This outdated practice was once believed to prevent the client from biting their tongue, but it poses significant risks. The client could bite down on the depressor, causing dental injuries or even breaking the depressor, leading to choking hazards. Modern seizure management guidelines advise against placing any objects in the mouth during a seizure. Instead, the focus should be on ensuring the client’s safety by clearing the area of any harmful objects and positioning them safely.
Choice D: Turn the client to the side
Reason: Turning the client to the side, also known as the recovery position, is a critical intervention during a seizure. This position helps maintain an open airway and reduces the risk of aspiration, which can occur if the client vomits or has excessive saliva. Aspiration can lead to serious respiratory complications, including pneumonia. By positioning the client on their side, gravity helps drain fluids from the mouth, preventing them from entering the airway9. This simple yet effective measure is a standard practice in seizure management to ensure the client’s safety and comfort.
Choice E: Restrain the client
Reason: Restraining a client during a seizure is not recommended and can be harmful. Seizures involve involuntary muscle contractions, and attempting to restrain the client can lead to injuries such as fractures, muscle tears, or dislocations. Additionally, restraint can increase the client’s agitation and stress, potentially worsening the seizure. The appropriate approach is to ensure the client’s safety by removing nearby objects that could cause injury and allowing the seizure to run its course. Gentle guidance and support should be provided without applying force.
Correct Answer is A
Explanation
Choice A reason:
Reducing the intake of vitamin K-rich foods is not recommended for preventing osteoporosis. Vitamin K plays a crucial role in bone health by helping to regulate calcium in the bones and blood. It is essential for the formation of osteocalcin, a protein that binds calcium to the bone matrix, thereby strengthening bones1. Therefore, reducing vitamin K intake could negatively impact bone health.
Choice B reason:
Reducing sodium intake is beneficial for preventing osteoporosis. High sodium intake can lead to increased calcium excretion in the urine, which can weaken bones over time2. Lowering sodium intake helps to retain calcium in the body, promoting better bone health.
Choice C reason:
Decreasing caffeine intake is advisable for preventing osteoporosis. Excessive caffeine consumption can interfere with calcium absorption and increase calcium excretion, which can weaken bones. Limiting caffeine intake helps to ensure that more calcium is available for bone maintenance and strength.
Choice D reason:
Limiting the intake of soft drinks is also recommended for preventing osteoporosis. Many soft drinks contain phosphoric acid, which can lead to an imbalance in calcium and phosphorus levels in the body, potentially weakening bones. Reducing soft drink consumption helps to maintain a healthier balance of these minerals, supporting bone health.
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