Which is the nurse's best response to the parents of a 10-year-old child newly diagnosed with type 1 diabetes mellitus who are concerned about the child's continued participation in soccer?
"It is okay to play sports such as soccer unless the weather is too hot."
"Consider the swim team as an alternative to soccer."
"Give the child an extra 15 to 30 g of carbohydrate snack before soccer practice."
"Encourage intellectual activity rather than participation in sports."
The Correct Answer is A
The nurse's best response to the parents of a 10-year-old child newly diagnosed with type 1
diabetes mellitus, who are concerned about the child's continued participation in soccer, is to
reassure them that it is generally safe for the child to play sports such as soccer unless the
weather is too hot.
Regular physical activity, including participation in sports, is generally encouraged for
children with type 1 diabetes as long as certain precautions are taken. It is important for the
child to have a well-managed diabetes management plan in place, which may include
monitoring blood sugar levels before, during, and after physical activity, adjusting insulin
doses as necessary, and having appropriate snacks available to maintain blood sugar levels.
Option B, suggesting the swim team as an alternative to soccer, may be a viable option if the
child or parents prefer swimming or if the child has specific concerns related to soccer.
However, it is not the best response to the parents' concern about the child's continued
participation in soccer.
Option C, recommending an extra carbohydrate snack before soccer practice, is a valid
suggestion to help maintain the child's blood sugar levels during physical activity. However,
it should be part of a comprehensive diabetes management plan and not the sole response to
the parents' concern.
Option D, encouraging intellectual activity rather than participation in sports, is not
appropriate as physical activity is generally beneficial for children with type 1 diabetes, as
long as appropriate precautions are taken.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The regulation of acid-base balance in the body involves multiple systems working together. The respiratory system, renal system, and chemical-buffering systems play key roles in maintaining the balance of acids and bases in the body.
The respiratory system helps regulate acid-base balance through the control of carbon dioxide (CO2) levels in the blood. By adjusting the rate and depth of breathing, the respiratory system can increase or decrease the elimination of CO2, which affects the pH of the blood.
The renal system (kidneys) plays a crucial role in regulating acid-base balance by controlling the excretion and reabsorption of hydrogen ions (H+) and bicarbonate ions (HCO3-) in the urine. The kidneys can excrete excess acids or bases to help maintain the body's pH within a normal range.
The chemical-buffering systems involve various chemical compounds in the body that can absorb or release hydrogen ions to help maintain pH balance. Examples of chemical buffers include bicarbonate ions (HCO3-), phosphate ions (HPO4-), and proteins.
the cardiovascular and integumentary systemin (option A) is incorrect because they, are not primarily responsible for regulating acid-base balance in the body.
Correct Answer is C
Explanation
Diarrhea is characterized by increased motility of the intestines, which leads to a decreased absorption of fluid and nutrients. This statement correctly indicates an understanding of the teaching regarding diarrhea.
Organisms destroy intestinal mucosal cells, resulting in an increased intestinal surface area in (Option A) is incorrect because organisms causing diarrhea can lead to damage or inflammation of the intestinal mucosal cells, but they do not destroy them to increase the intestinal surface area.
Malabsorption results in metabolic alkalosis in (Option B) is incorrect because malabsorption does not result in metabolic alkalosis. Malabsorption refers to the impaired absorption of nutrients, but it does not directly affect the acid-base balance in the body.
Diarrhea results from a fluid deficit in the small intestine in (Option D) is incorrect because diarrhea does not result from a fluid deficit in the small intestine. Diarrhea is characterized by an increased volume of fluid in the intestines and increased frequency of bowel movements.
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