What is your explanation to the parents who do not want to give their child insulin injections to treat type 1 diabetes because they have heard that pills can be used to treat this condition?
The child cannot take the pills because we can't be sure that he would take the entire dose.
The pills are reserved for those over the age of 12.
Insulin is destroyed in the gastrointestinal tract if taken orally, so it must be injected subcutaneously.
The child can go ahead and take the oral medication because he does have type 1 diabetes.
The Correct Answer is C
Choice A reason: This explanation is not correct. The reason why oral medications are not used for type 1 diabetes is not related to the child's ability to take the entire dose. The primary issue is the nature of insulin and how it must be administered.
Choice B reason: This statement is incorrect. The use of insulin injections is not based on age but on the type of diabetes. Type 1 diabetes requires insulin therapy regardless of the patient's age.
Choice C reason: Insulin is a protein that, if taken orally, would be broken down by the digestive enzymes in the gastrointestinal tract, rendering it ineffective. For this reason, insulin must be administered through subcutaneous injections to ensure it reaches the bloodstream intact and can effectively regulate blood glucose levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A low blood glucose level is not a sign of diabetic ketoacidosis (DKA). In fact, DKA is characterized by high blood glucose levels due to a lack of insulin, which leads to the breakdown of fats for energy and the production of ketones.
Choice B reason: Ketonuria, or the presence of ketones in the urine, is a sign of DKA. It occurs when the body breaks down fats for energy instead of using glucose, leading to the production of ketones, which are then excreted in the urine.
Choice C reason: Dehydration is a common sign of DKA. High blood glucose levels lead to increased urination, which causes the body to lose fluids and electrolytes, resulting in dehydration.
Choice D reason: Kussmaul respirations are a sign of DKA. These are deep, labored breathing patterns that occur as the body attempts to compensate for the metabolic acidosis caused by high levels of ketones in the blood.
Correct Answer is C
Explanation
Choice A reason: Increasing red meat in the diet is not an appropriate treatment for hypovolemia due to hemorrhage. While red meat contains iron, which is important for blood production, it does not address the immediate need to replace lost blood volume.
Choice B reason: Infusing D5NS (5% Dextrose in Normal Saline) at 75 ml/hr for 10 hours may help replenish fluid volume, but it does not provide the necessary components to replace lost blood cells and clotting factors. This option is not sufficient for severe hemorrhage.
Choice C reason: Replacement of volume with blood products is the treatment of choice for hypovolemia due to hemorrhage. Blood transfusions provide the necessary red blood cells, plasma, and clotting factors to restore blood volume and improve oxygen delivery to organs. This is crucial in managing severe blood loss and preventing complications such as hypovolemic shock.
Choice D reason: Increasing H2O (water) intake to 400 ml/4 hr for 24 hours is not an appropriate treatment for hypovolemia due to hemorrhage. While hydration is important, it does not address the immediate need to replace lost blood volume and components.
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