A nurse is assessing a child with diabetes mellitus.
The child has complained of increased hunger despite increased appetite.
How should the nurse respond to address the child's concern?
"This hunger is a normal part of growing up.”..
"Increased hunger is a result of the body's inability to utilize glucose properly.”..
"You should eat smaller, more frequent meals to control your hunger.”..
"This is a side effect of the medication you're taking.”..
The Correct Answer is B
Choice A rationale:
"This hunger is a normal part of growing up.”.
This response is not appropriate.
Increased hunger in a child with diabetes is not a normal part of growing up.
It is essential to provide accurate information and address the child's concerns.
Choice B rationale:
"Increased hunger is a result of the body's inability to utilize glucose properly.”.
This is The correct response.
Increased hunger in diabetes is often due to the body's inability to use glucose properly.
When insulin is deficient or not functioning effectively, the cells cannot take up glucose for energy, leading to increased hunger.
Providing this information helps the child understand the physiological basis of their hunger.
Choice C rationale:
"You should eat smaller, more frequent meals to control your hunger.”.
While this advice can be helpful for managing blood sugar levels in diabetes, it doesn't address the cause of increased hunger.
It is essential to explain the underlying reasons for the symptom.
Choice D rationale:
"This is a side effect of the medication you're taking.”.
This response is not accurate.
Increased hunger in diabetes is primarily related to glucose metabolism and insulin deficiency, not a medication side effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. "Evaluate the child's emotional well-being.”.
D. "Obtain a detailed history, including family history of diabetes.”.
E. "Regularly monitor blood glucose levels to assess glycemic control.”.
Choice A rationale:
Evaluate the child's emotional well-being.
Assessing the emotional well-being of a child with diabetes is crucial because living with a chronic condition can have a significant impact on a child's mental health.
Children may experience stress, anxiety, and other emotional challenges related to their condition.
This assessment helps in providing comprehensive care and support to the child.
Choice B rationale:
Assess for signs of hyperglycemia, such as polyuria.
While assessing for signs of hyperglycemia, such as polyuria, is important in managing diabetes, it is primarily a physical assessment and not a psychosocial assessment.
It focuses on the physiological aspects of the condition.
Choice C rationale:
Monitor growth patterns and assess for any delays.
Monitoring growth patterns and assessing for delays in a child's development is important but is also primarily a physical assessment.
It is not a direct component of the psychosocial assessment, although it may indirectly impact a child's emotional well-being.
Choice D rationale:
Obtain a detailed history, including family history of diabetes.
Obtaining a detailed history, including a family history of diabetes, is a crucial part of the assessment.
Family history can be a significant risk factor for the development of diabetes in a child.
Understanding the family history helps in identifying potential genetic predispositions.
Choice E rationale:
Regularly monitor blood glucose levels to assess glycemic control.
Regularly monitoring blood glucose levels is essential in managing diabetes.
While it is a key aspect of diabetes care, it primarily falls under the category of physiological monitoring rather than a direct component of psychosocial assessment.
Correct Answer is A
Explanation
"We'll administer 0.9% saline to restore intravascular volume.”.
Choice A rationale:
The statement "We'll administer 0.9% saline to restore intravascular volume" is correct.
In the management of DKA, fluid resuscitation is a crucial initial step to restore intravascular volume.
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