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 can store unopened bottles of insulin in the freezer.
I should not take my regular insulin when I am sick."
"My morning blood glucose should be between 90 and 130.
I should eat a snack half an hour before playing soccer
The Correct Answer is D
A) "I can store unopened bottles of insulin in the freezer."
This statement is incorrect. Insulin should not be stored in the freezer. Insulin should be stored in the refrigerator, and the currently used vial can be kept at room temperature for up to 28 days to avoid the discomfort of injecting cold insulin.
B) "I should not take my regular insulin when I am sick."
This statement is incorrect. When a person with type 1 diabetes is sick, it's important to continue taking insulin. In fact, during illness, blood sugar levels can become more difficult to manage, and insulin may be needed in adjusted doses. Skipping insulin during sickness can lead to uncontrolled blood sugar levels and potentially worsen the illness.
C) "My morning blood glucose should be between 90 and 130."
This statement is a good range to aim for in terms of fasting blood glucose levels, but it's not an indication of understanding the teaching about diabetes management as a whole. While this knowledge is important, the statement about eating a snack before playing soccer directly reflects understanding of how to manage blood sugar during physical activity.
"D) I should eat a snack half an hour before playing soccer."
Explanation:
Managing blood sugar levels is crucial for individuals with type 1 diabetes, especially when engaging in physical activities like playing soccer. Eating a snack before playing helps prevent hypoglycemia (low blood sugar) during exercise. Physical activity can cause the body to use up glucose faster, potentially leading to low blood sugar levels, and having a snack before exercise can help maintain stable blood sugar levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Spina bifida.
Explanation: Correct Choice. Spina bifida is a neural tube defect (NTD) that occurs during early fetal development when the neural tube doesn't close completely. It can result in various degrees of spinal cord and nerve damage. This is a suitable example to include when teaching about neural tube defects.
B. Hydrocephalus.
Explanation: Hydrocephalus is not a neural tube defect itself. It's a condition characterized by the accumulation of cerebrospinal fluid in the brain, leading to increased intracranial pressure. It can be caused by various factors, but it's not directly related to neural tube development.
C. Cerebral palsy.
Explanation: Cerebral palsy is a group of motor disorders caused by damage to the developing brain, usually before birth. It is not a neural tube defect. Instead, it's related to brain injury or abnormal development.
D. Muscular dystrophy.
Explanation: Muscular dystrophy is a group of genetic disorders characterized by progressive muscle weakness and degeneration. It's not related to neural tube defects. Muscular dystrophy affects muscle tissue, while neural tube defects involve improper development of the neural tube.
Correct Answer is D
Explanation
A. Assess the bowel sounds:
Bowel sounds are not directly related to the assessment of ascites. Bowel sounds are more relevant in assessing gastrointestinal function and peristalsis. While bowel changes could potentially be a sign of complications, monitoring abdominal girth is more specific to tracking ascites.
B. Frequently ambulate child:
While ambulation is important for overall health, it's not a direct assessment method for monitoring ascites. Ambulating a child might have benefits, but it won't provide specific information about the presence or progression of ascites.
C. Weigh child weekly:
Weekly weighing can provide some information about overall fluid balance, but it might not be as sensitive as measuring abdominal girth when it comes to detecting changes in ascites. Additionally, monitoring weight alone might not give insight into the distribution of fluid in the abdominal cavity.
D. Monitor and measure the abdominal girth.
Explanation: The presence of ascites (accumulation of fluid in the abdominal cavity) in a child with nephrotic syndrome could indicate worsening kidney function and fluid balance. Monitoring and measuring the abdominal girth is a reliable way to assess changes in the amount of fluid accumulation over time. An increase in abdominal girth could suggest a worsening condition.
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