When managing sick days for a child with Type 1 diabetes mellitus, which of the following should be included in the teaching?

Limit water intake to prevent hyponatremia.

Check blood glucose every 8-12 hours.

Drink 8oz of apple or orange juice every hour.

Always give scheduled insulin even if the child has no appetite.

Answer and Explanation

The Correct Answer is D

Choice A reason: Limiting water intake is not recommended as adequate hydration is important, especially when sick.
Choice B reason: Checking blood glucose every 8-12 hours is not frequent enough; it should be monitored more often during illness.
Choice C reason: Drinking juice every hour is not necessary and could lead to hyperglycemia if not balanced with insulin.
Choice D reason: This is the correct choice. It is crucial to continue administering insulin as prescribed to manage blood glucose levels, even if the child is not eating as much.

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Correct Answer is C

Explanation

Choice A reason: Fracturing a bone through the epiphyseal plate does not put a child at risk for developing Rheumatoid Arthritis, which is an autoimmune condition unrelated to such injuries.

Choice B reason: Permanent nerve damage is not a typical consequence of fracturing the epiphyseal plate, as this injury primarily affects bone growth.

Choice C reason: The epiphyseal plate, or growth plate, is responsible for the longitudinal growth of bones in children and adolescents. Damage to this area can disrupt normal bone growth.

Choice D reason: While severe damage to the epiphyseal plate can potentially halt growth in that bone, it is more common for the growth to be disrupted rather than completely prevented. The extent of the impact depends on the severity of the injury.

A. "A lack of prenatal care is a known cause of autism, but there is no way you could have predicted this." B. "The specific cause of autism is unknown; however, it is known to be associated with problems in the structure of and chemicals in the brain." C. "Although autism is genetically inherited, if you didn't have testing, you could not have known this would happen." D. "Autism is a rare disorder. Your other children shouldn't be affected."

Correct Answer is B

Explanation

Choice A reason: This statement is incorrect and could potentially increase feelings of guilt, as a lack of prenatal care is not a known cause of autism.

Choice B reason: This statement is accurate and can help alleviate guilt by explaining that autism is not caused by something the parents did or did not do.

Choice C reason: While it's true that parents without genetic testing could not have known, this statement does not address the feelings of guilt regarding causation.

Choice D reason: This statement is misleading because autism is not considered rare, and siblings can have an increased risk of autism spectrum disorders. It does not provide accurate information or address the parents' feelings of guilt.

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When managing sick days for a child with Type 1 diabetes mellitus, which of the following should be included in the teaching?

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Naxlex Comprehensive Predictor Exams

What is the likely result of a child fracturing a bone through a portion of the epiphyseal plate?

Correct Answer is C

Explanation

Which statement by the nurse would best help alleviate parental guilt about their child, George, who has been recently diagnosed with autism?

Correct Answer is B

Explanation

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