A patient newly diagnosed with insulin-dependent diabetes mellitus comes to the clinic one month after diagnosis. The mother tells the nurse, "My child is getting better. The glucose levels are almost normal and my child requires less insulin.". What is the most appropriate response by the nurse?
"The improvement may indicate a misdiagnosis of insulin-dependent diabetes mellitus.".
"The improvement is evidence of the creation of new insulin-producing cells in the pancreas.".
"The improvement is a temporary response of the insulin-producing cells of the pancreas.".
"The improvement is the beginning of a complete recovery for your child.".
The Correct Answer is C
Choice A rationale:
Misdiagnosis is unlikely since the glucose levels are improving, indicating a valid diagnosis.
Choice B rationale:
Insulin-producing cells don't regenerate in substantial amounts to normalize glucose levels within a month. This process takes longer.
Choice C rationale:
This choice correctly identifies the situation as a temporary improvement due to the remaining insulin-producing cells functioning better temporarily.
Choice D rationale:
Complete recovery is not likely in such a short time frame.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Monitoring the apical pulse is of the highest priority for a patient with a myelomeningocele preoperatively. A myelomeningocele is a neural tube defect that can lead to neurologic complications. Monitoring the apical pulse every hour helps detect any signs of cardiac distress or neurological compromise, allowing prompt intervention.
Choice B rationale:
Maintaining the patient in a prone position is not the priority in this situation. While positioning can be important, monitoring vital signs takes precedence over positioning.
Choice C rationale:
Providing sensory stimulation is important for the patient's overall well-being, but it's not the highest priority preoperatively. Monitoring vital signs and assessing for potential complications take precedence.
Choice D rationale:
Keeping a strict record of the patient's intake and output is important for general care, but it's not the highest priority in the immediate preoperative period. Monitoring vital signs and detecting signs of distress come first.
Correct Answer is A
Explanation
Choice A rationale:
Allowing the child to have the soiled stuffed dog within sight but out of reach respects his attachment to the comfort object while maintaining hygiene standards of the hospital environment. The child's emotional well-being is crucial, and separation from a beloved item during a hospital stay can be distressing. Placing the dog in view but inaccessible helps strike a balance between comfort and infection control.
Choice B rationale:
While the mother's desire to keep the dog with the child is understandable, infection control is a concern in a hospital setting. Allowing the soiled object to remain in close proximity could compromise the child's health.
Choice C rationale:
Suggesting that the mother take the dog home to wash it and bring it back later might cause unnecessary distress for the child, who may worry about being separated from the comfort object for an extended period.
Choice D rationale:
Choosing a replacement from the playroom's stuffed animals could be unsettling for the child, as his attachment is to his specific dog. The familiarity of his own toy is likely to provide more comfort during the hospitalization. .
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