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:
Children with nephrotic syndrome are at an increased risk of infection due to loss of immunoglobulins and other immune-related proteins in the urine, along with the use of immunosuppressive medications. The proteinuria associated with nephrotic syndrome leads to hypoalbuminemia and decreased immunity, making the child susceptible to infections, particularly bacterial peritonitis. Preventive measures include proper hand hygiene, maintaining a clean environment, and timely administration of prescribed antibiotics.
Choice B rationale:
Hypertension is not a primary complication of nephrotic syndrome in children. While they may have fluid retention and edema, resulting in increased blood pressure, infection is a more significant concern.
Choice C rationale:
Weight loss is not a typical complication of nephrotic syndrome but rather the opposite. Children with nephrotic syndrome often experience weight gain due to fluid retention and edema.
Choice D rationale:
Hyperkalemia is a possible electrolyte imbalance in nephrotic syndrome, but it is not a primary concern for children with this condition. The loss of protein in the urine can lead to hypoalbuminemia and subsequent edema, but hyperkalemia is not a common initial complication.
Correct Answer is D
Explanation
Choice A rationale:
Assessing the infant's ability to roll over is unrelated to the situation. The nurse's focus should be on safely retrieving the nasogastric tube without leaving the infant alone.
Choice B rationale:
Using a nesting pillow is not appropriate in this scenario. The nurse should prioritize getting the nasogastric tube rather than introducing unnecessary items into the crib.
Choice C rationale:
Putting the side rail all the way up might hinder the nurse's ability to access the counter and the nasogastric tube. It is not the most effective action in this situation.
Choice D rationale:
Calling for assistance ensures that the infant's safety is maintained while the nurse retrieves the nasogastric tube. Leaving the infant unattended increases the risk of harm, so involving someone else is the appropriate action.
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