A nurse is reinforcing teaching with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

"I will discard insulin bottles 60 days after opening.”.

"Before I exercise, I will need to take an extra 10 units of insulin.”.

"If I feel dizzy, I will drink 4 ounces of orange juice.”

"A hemoglobin A1c of 9 percent is a good goal."

Answer and Explanation

The Correct Answer is C

Choice A reason:

The statement "I will discard insulin bottles 60 days after opening”. is incorrect. Insulin bottles typically have a shorter shelf life after opening, usually around 28 days. Discarding them after 60 days could lead to using ineffective insulin, which can be harmful to the individual's blood sugar control.

Choice B reason:

This statement is incorrect. Excessive insulin use can cause hypoglycemia which is aggravated by involvement in streneous exercise.

Choice C reason:

The statement "If I feel dizzy, I will drink 4 ounces of orange juice”. is correct. A feeling of dizziness is an early sign of hypoglycemia. Client should be encouraged to take simple acrbohydrayes when tehy experience any symptoms consistent with hypoglycemia

Choice D reason:

The statement "A hemoglobin A1c of 9 percent is a good goal”. is incorrect. Hemoglobin A1c reflects average blood sugar levels over the past 2-3 months. An A1c of 9 percent is relatively high and suggests poor diabetes management. The target A1c goal for most people with diabetes is typically below 7 percent, as recommended by the American Diabetes Association.

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Correct Answer is C

Explanation

"We allow our children the freedom to decide their own behavior.”

Choice A reason:

This statement does not indicate a permissive parenting style. In fact, it suggests an authoritative or authoritarian style, where the parents make decisions for their children without considering their input. The parents' imposition of their decisions on their children's time indicates a more controlling approach.

Choice B reason:

This statement also does not reflect a permissive parenting style. Instead, it represents an authoritative or authoritarian style, where the parents expect obedience and compliance without allowing room for questions or autonomy. This approach tends to be more structured and directive.

Choice C reason:

This statement demonstrates the use of a permissive parenting style. In permissive parenting, parents tend to be lenient and allow their children considerable freedom in decision-making and behavior. By giving their children the freedom to decide their own behavior, the parents are adopting a permissive approach, which can sometimes lead to indulgence and lack of necessary boundaries.

Choice D reason:

This statement does not indicate a permissive parenting style either. Instead, it suggests an authoritative or democratic style, where the parents explain the reasoning behind the rules they set. This approach encourages understanding and cooperation but is different from permissiveness.

A. You should offer your child sips of clear liquids. B. You should gently restrain your child using both of your arms. C. You should place your child's head on a pillow. D. You should give rectal diazepam to your child at the onset of the seizure.

Correct Answer is C

Explanation

Choice A reason:

The nurse should not offer the child sips of clear liquids during a seizure. During a tonic-clonic seizure, the child's swallowing reflex may be impaired, and giving liquids could lead to aspiration or choking, causing further complications.

Choice B reason:

The nurse should not restrain the child during a seizure using both arms or any other means. Restraint can potentially lead to injury for both the child and the person attempting to restrain them. It is crucial to allow the child to move freely during the seizure to prevent harm.

Choice C reason:

Placing the child's head on a pillow is the correct choice. This positioning helps to protect the child's head from injury during the seizure. The pillow provides a cushioning effect, minimizing the risk of head trauma.

Choice D reason:

The nurse should not instruct the parent to give rectal diazepam to the child at the onset of the seizure unless specifically prescribed by the child's healthcare provider. Diazepam is a medication used to manage seizures, but its administration route and timing should be determined by the child's healthcare provider. Inappropriate use of medication can be dangerous and ineffective.

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A nurse is reinforcing teaching with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is evaluating the parenting styles of a group of parents of school-age children. Which of the following statements by a parent indicates the use of a permissive parenting style?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a parent of a school-age child who has tonic-clonic seizures. Which of the following statements should the nurse make regarding care during a seizure?

Correct Answer is C

Explanation

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