A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?

"The insulin can be injected anywhere there is adipose tissue."

"I will be sure my child rotates sites after 5 injections in one area."

"I will be sure my child aspirates before injecting the insulin."

"The insulin should be injected at a 90-degree angle."

Answer and Explanation

The Correct Answer is C

Choice A: This statement does not indicate a need for further teaching, as it is correct that insulin can be injected anywhere there is adipose tissue. Adipose tissue is the layer of fat under the skin that can absorb insulin and prevent damage to muscles or organs. The common sites for insulin injection are the abdomen, thighs, buttocks, or upper arms.

Choice B: This statement does not indicate a need for further teaching, as it is correct that the child should rotate sites after 5 injections in one area. Rotating sites can prevent lipodystrophy, which is a condition that causes abnormal changes in fat tissue due to repeated injections. Lipodystrophy can affect the appearance and absorption of insulin in the aﬀected area.

Choice C: This statement indicates a need for further teaching, as it is incorrect that the child should aspirate before injecting the insulin. Aspiration is the process of pulling back on the plunger of the syringe to check for blood before injecting the medication. Aspiration is not recommended for insulin injection, as it can cause pain, bruising, or leakage of insulin from the injection site.

Choice D: This statement does not indicate a need for further teaching, as it is correct that insulin should be injected at a 90-degree angle. Injecting insulin at a 90-degree angle can ensure that the medication reaches the adipose tissue and prevents skin irritation or muscle damage. The only exception is if the child has very thin skin or uses very short needles, in which case they may inject at a 45-degree angle.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A: This prescription does not need clarification, as medicating the client for pain every 4 hours as needed is appropriate for a child who has suspected appendicitis. Appendicitis is a condition that causes inﬂammation and infection of the appendix, which is a small pouch attached to the large intestine. Appendicitis can cause severe abdominal pain, nausea, vomiting, fever, or loss of appetite. Pain medication can help relieve the discomfort and reduce inﬂammation.

Choice B: This prescription does not need clarification, as maintaining NPO status is appropriate for a child who has suspected appendicitis. NPO status means nothing by mouth, which means no food or ﬂuids are given to the client. NPO status can prevent further irritation of the appendix and prepare the client for possible surgery.

Choice C: This prescription does not need clarification, as monitoring oral temperature every 4 hours is appropriate for a child who has suspected appendicitis. Oral temperature is a measure of body temperature taken by placing a thermometer under the tongue. Oral temperature can indicate infection or inﬂammation in the body. Monitoring oral temperature every 4 hours can help detect changes in the client's condition and guide treatment.

Choice D: This prescription needs clarification, as administering an enema is not appropriate for a child who has suspected appendicitis. An enema is a procedure that involves inserting a tube into the rectum and injecting ﬂuid into the colon to stimulate bowel movement. An enema can cause perforation or rupture of the appendix, which can lead to peritonitis, which is inﬂammation of the peritoneum, which is the membrane that lines the abdominal cavity. An enema can also increase the risk of bleeding or infection.

A. Body image changes B. Feelings of displacement C. Loss of privacy D. Identity crisis

Correct Answer is A

Explanation

Choice A: Body image changes are the most common reaction for an adolescent who has scoliosis and requires surgical intervention, as scoliosis aﬀects the appearance and shape of the spine and torso. Body image changes can lead to low self-esteem, social isolation, depression, or anxiety.

Choice B: Feelings of displacement are not the most common reaction for an adolescent who has scoliosis and requires surgical intervention, as displacement means feeling out of place or unwanted in a certain situation or environment. Feelings of displacement can occur due to hospitalization, separation from peers or family, or lack of control over one's life.

Choice C: Loss of privacy is not the most common reaction for an adolescent who has scoliosis and requires surgical intervention, as loss of privacy means having one's personal information or space exposed or invaded by others. Loss of privacy can occur due to frequent examinations, procedures, or interventions by health care providers or staﬀ.

Choice D: Identity crisis is not the most common reaction for an adolescent who has scoliosis and requires surgical intervention, as identity crisis means having difficulty or confusion in defining one's self-concept or role in society. Identity crises can occur due to developmental changes, peer pressure, or cultural expectations.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?

Correct Answer is D

Explanation

A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. Which of the following behaviors by the adolescent should the nurse anticipate because it is the most common reaction?

Correct Answer is A

Explanation

A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition?

A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?

A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?

A nurse is orienting a newly licensed nurse in the care of an infant who has myelomeningocele. Which of the following actions by the newly licensed nurse indicates the teaching has been eﬀective?

A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which of the following foods should the nurse recommend?

A nurse is caring for a child who has otitis media with eﬀusion. The nurse should identify which of the following manifestations indicates a tympanic membrane rupture.

A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?