A child with type 1 diabetes is being discharged.
Which statement by the parent indicates a need for further teaching?
"I will ensure my child eats a balanced diet.”.
"I can give my child regular soda if their blood sugar is low.”.
"I need to monitor for signs of hyperglycemia.”.
"I will check my child's blood glucose regularly.”.
The Correct Answer is B
Choice B rationale
Regular soda contains high amounts of simple sugars, which will rapidly increase blood glucose levels. For a child with type 1 diabetes experiencing hypoglycemia (low blood sugar), a quick-acting source of glucose like juice or glucose tablets is preferred over regular soda due to its predictable and faster absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Tight-fitting underwear can trap moisture and limit airflow in the genital area, potentially creating a more favorable environment for bacterial growth and increasing the risk of urinary tract infections (UTIs), rather than preventing them.
Choice B rationale
Wiping from front to back after urination and defecation is a critical hygiene practice for females to prevent the transfer of bacteria from the rectal area to the urethra. The urethra is shorter in females, making them more susceptible to ascending UTIs from fecal bacteria like *Escherichia coli*.
Choice C rationale
Bubble baths can introduce irritants and soaps into the urethra and perineal area, disrupting the natural flora and potentially increasing the risk of UTIs, especially in children who are already prone to them.
Choice D rationale
Limiting fluid intake can lead to less frequent urination and more concentrated urine. This allows bacteria more time to multiply in the urinary tract and reduces the flushing action that helps to eliminate bacteria, thereby increasing the risk of UTIs. Adequate hydration and frequent voiding are important for preventing UTIs. .
Correct Answer is A
Explanation
Choice A rationale
Eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition characterized by pruritus (itching), erythema (redness), and scaling. Topical corticosteroids are the first-line treatment due to their potent anti-inflammatory and immunosuppressive properties, which help to reduce the inflammatory response in the skin and alleviate itching.
Choice B rationale
Psoriasis is a chronic autoimmune skin disorder characterized by thickened, scaly plaques. Topical calcineurin inhibitors are used to treat psoriasis by suppressing the activity of T-cells, which are involved in the inflammatory process. The presentation of an itchy rash as the primary finding is less consistent with typical psoriasis.
Choice C rationale
Contact dermatitis is an inflammatory skin reaction resulting from direct contact with an irritant or allergen, often presenting with redness, swelling, and vesicles in addition to itching. While topical antihistamines can help with itching associated with allergic reactions, topical corticosteroids are generally more effective for managing the inflammation in contact dermatitis.
Choice D rationale
Tinea corporis, or ringworm, is a fungal infection of the skin characterized by circular, raised, scaly patches with central clearing. Topical antifungals are the appropriate treatment for tinea infections as they inhibit the growth and reproduction of the dermatophyte fungi causing the infection.
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