A nurse is assessing a child with diabetes mellitus.
The child complains of excessive thirst and increased urination.
Which statement by the nurse is appropriate for addressing the child's concern?
"You need to drink less water to control your urination.”..
"These symptoms are because your body has trouble using glucose properly.”..
"You should eat more to satisfy your increased hunger.”..
"This weight loss is due to a decrease in appetite.”..
The Correct Answer is B
Choice A rationale:
Telling the child to drink less water to control urination is not an appropriate response.
Excessive thirst and increased urination are common symptoms of diabetes, and they occur because the body is trying to get rid of excess glucose through urine.
Dehydration is a concern in diabetes, so advising the child to drink less water is not advisable.
Choice B rationale:
Explaining to the child that these symptoms are due to their body having trouble using glucose properly is an accurate and appropriate response.
Excessive thirst and increased urination are classic symptoms of diabetes mellitus.
When the body cannot use glucose effectively, it tries to eliminate excess glucose through urine, leading to increased urination and subsequent thirst to combat dehydration.
Choice C rationale:
Suggesting that the child should eat more to satisfy their increased hunger is not an appropriate response.
Increased hunger can also be a symptom of diabetes, and advising the child to eat more without addressing the underlying issue of glucose regulation is not helpful.
Choice D rationale:
Weight loss is often an early symptom of diabetes, and it occurs because the body is unable to properly utilize glucose for energy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
"The primary treatment for children with diabetes is insulin therapy.”.
This is The correct response.
Insulin therapy is the primary treatment for type 1 diabetes in children and may also be necessary for some with type 2 diabetes.
It is crucial to explain this to the client accurately.
Choice B rationale:
"Children with diabetes can manage their condition solely through dietary modifications.”.
This statement is not accurate.
While diet plays a significant role in diabetes management, it is not the sole treatment.
Insulin or other medications may be necessary, depending on the type and severity of diabetes.
Choice C rationale:
"Regular physical activity is the primary treatment for diabetes in children.”.
While physical activity is essential for diabetes management, it is not the primary treatment.
Insulin therapy or other medications take precedence, and physical activity complements the treatment plan.
Choice D rationale:
"Blood glucose monitoring is not necessary for managing diabetes in children.”.
This statement is incorrect.
Blood glucose monitoring is a crucial part of diabetes management, allowing the child and their healthcare team to make informed decisions about treatment and lifestyle adjustments.
Correct Answer is B
Explanation
Hyperglycemia.
Choice A rationale:
Hypoglycemia A blood glucose level of 250 mg/dL is not indicative of hypoglycemia.
Hypoglycemia is defined as low blood glucose levels typically below 70 mg/dL.
In DKA, the primary concern is hyperglycemia, and blood glucose levels are significantly higher than normal.
Choice C rationale:
Normoglycemia A blood glucose level of 250 mg/dL is above the normal range, which typically falls between 70 and 100 mg/dL.
Therefore, it does not indicate normoglycemia.
Hyperglycemia is the characteristic feature of DKA.
Choice D rationale:
Ketonuria While ketonuria is often present in DKA, the finding of a blood glucose level of 250 mg/dL primarily indicates hyperglycemia.
Ketonuria is assessed through urinalysis and relates to the presence of ketones in the urine, which is a common feature of DKA along with hyperglycemia.
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