A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?

“I should not take my regular insulin when I am sick.”.

“I can store unopened bottles of insulin in the freezer.”.

“My morning blood glucose should be between 90 and 130.”.

“I should eat a snack half an hour before playing soccer.”.

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C.

Choice A rationale

Regular insulin should not be withheld during illness. When a person with type 1 diabetes is sick, their body may produce more glucose due to stress and infection, leading to hyperglycemia. Therefore, it is crucial to continue taking insulin to manage blood glucose levels effectively.

Choice B rationale

Insulin should not be stored in the freezer. Freezing insulin can cause it to degrade and lose its effectiveness. Insulin should be stored in the refrigerator at a temperature between 2°C and 8°C (36°F and 46°F) until it is opened. Once opened, it can be kept at room temperature for a specified period, usually around 28 days.

Choice C rationale

The target range for morning blood glucose levels in children with type 1 diabetes is typically between 90 and 130 mg/dL. Maintaining blood glucose within this range helps to prevent both

hyperglycemia and hypoglycemia, ensuring better overall diabetes management and reducing the risk of complications.

Choice D rationale

Eating a snack before physical activity is important for children with type 1 diabetes to prevent hypoglycemia. Physical activity can lower blood glucose levels, so having a snack that contains carbohydrates can help maintain stable blood glucose levels during exercise.

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Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale

Measuring head circumference every shift is unnecessary for a 6-year-old child with bacterial meningitis. This intervention is more relevant for infants where head circumference changes can indicate increased intracranial pressure.

Choice B rationale

Implementing seizure precautions is necessary as bacterial meningitis can cause seizures due to increased intracranial pressure and inflammation.

Choice C rationale

Admitting the client to a private room is necessary to prevent the spread of infection, as bacterial meningitis can be highly contagious.

Choice D rationale

Placing the client in a semi-Fowler’s position helps reduce intracranial pressure and promotes comfort.

A. Keep the child flat and apply pressure to the bridge of the nose. B. Turn the child’s head to the side and press on the nasal ridge. C. Sit the child upright and apply pressure to the sides of the nose. D. Elevate the head of the bed slightly and apply pressure to the forehead.

Correct Answer is C

Explanation

The correct answer is C. Sit the child upright and apply pressure to the sides of the nose.

Choice A rationale

Keeping the child flat and applying pressure to the bridge of the nose is not effective for managing a nosebleed. The child should be in an upright position to reduce blood flow to the nose and prevent swallowing blood.

Choice B rationale

Turning the child’s head to the side and pressing on the nasal ridge is not the recommended approach for managing a nosebleed. The child should be in an upright position with pressure applied to the sides of the nose.

Choice C rationale

Sitting the child upright and applying pressure to the sides of the nose is the correct action. This position helps to reduce blood flow to the nose and applying pressure helps to stop the bleeding.

Choice D rationale

Elevating the head of the bed slightly and applying pressure to the forehead is not effective for managing a nosebleed. The child should be in an upright position with pressure applied to the sides of the nose to stop the bleeding. .

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A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a 6-year-old child who has bacterial meningitis.Which of the following nursing interventions is unnecessary in the client’s plan of care?

Correct Answer is A

Explanation

A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?

Correct Answer is C

Explanation

A school-aged child is diagnosed with streptococcal pharyngitis.What should the nurse teach the parents about the care that this child will need at home?

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A nurse is caring for a child who has rheumatic fever. When obtaining the child’s medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child’s infection?

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A nurse is assessing a 3-year-old child and suspects the child may have a developmental delay. Which of the following actions is a priority for the nurse to take?