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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Type 1 diabetes mellitus is a condition where the body's immune system mistakenly attacks and destroys the insulin-producing cells in the pancreas. Individuals with type 1 diabetes require insulin therapy to manage their blood sugar levels. Since the question is about teaching an adolescent with type 1 diabetes, let's analyze each option:
A) Obtain an influenza vaccine annually:
This is a crucial recommendation. People with diabetes, including type 1 diabetes, have a higher risk of complications from infections, including influenza (the flu). The flu can lead to elevated blood sugar levels and potentially worsen diabetes control. Getting an annual influenza vaccine helps reduce the risk of getting the flu and its associated complications.
B) Take glyburide with breakfast:
Glyburide is a medication used to treat type 2 diabetes, not type 1 diabetes. It stimulates the pancreas to produce more insulin. Type 1 diabetes is characterized by a lack of insulin production, so taking glyburide would not be appropriate.
C) Administer glucagon for hyperglycemia:
Glucagon is a hormone used to raise blood sugar levels, typically in cases of severe hypoglycemia (low blood sugar). It is not used to treat hyperglycemia (high blood sugar) in type 1 diabetes. Instead, insulin administration is the primary method for managing high blood sugar levels.
D) Inject insulin in the deltoid muscle:
Insulin injections for individuals with type 1 diabetes are typically given in the subcutaneous fat, which is found just beneath the skin. The deltoid muscle is not a recommended site for insulin injections due to inconsistent absorption. The abdomen, thighs, and buttocks are commonly recommended injection sites.
Correct Answer is B
Explanation
A) Places the infant in a side-lying position:
Positioning is important in the care of an infant with myelomeningocele. The infant is usually placed in a prone (on the abdomen) position to prevent pressure on the sac and protect the neural tissue. Placing the infant in a side-lying position may not provide the needed protection.
B) Maintains a dry dressing over the sac:
This action indicates effective teaching. The sac should be covered with a sterile, non-stick dressing to protect the exposed neural tissue from infection and trauma. Keeping the dressing dry is important to prevent complications
C) Performs range of motion on the infant's hips:
Range of motion exercises are not typically performed on the hips of an infant with myelomeningocele. The focus of care is primarily on protecting the exposed neural tissue, preventing infection, and ensuring proper positioning.
D) Takes an axillary temperature:
Taking an axillary temperature is a common method for measuring an infant's body temperature. However, in the case of an infant with myelomeningocele, it's important to avoid any pressure or friction on the sac area. The nurse should use care to prevent disturbing the dressing or causing discomfort to the infant.
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