A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following recommendations should the nurse make?
Follow up with physical therapy.
Store opened vials of insulin for up to 60 days.
Consult with a nutritionist.
Monitor capillary blood glucose daily.
The Correct Answer is C
A. Follow up with physical therapy: Physical therapy is not a routine recommendation for newly diagnosed type 1 diabetes unless there are concurrent musculoskeletal or mobility issues. While exercise is important for blood glucose management, referral to a physical therapist is not required at diagnosis.
B. Store opened vials of insulin for up to 60 days: Most insulin vials are stable for 28–30 days once opened, depending on the type. Storing insulin beyond the recommended period can reduce potency and lead to poor glycemic control.
C. Consult with a nutritionist: Nutritional management is a cornerstone of type 1 diabetes care. A nutritionist can provide individualized meal planning, carbohydrate counting education, and guidance on balancing insulin dosing with food intake, which is critical for achieving glycemic control and preventing complications.
D. Monitor capillary blood glucose daily: Daily monitoring of blood glucose is essential, but in adolescents with type 1 diabetes, multiple checks per day are usually recommended to properly manage insulin dosing and respond to fluctuations. Advising consultation with a nutritionist addresses foundational management more comprehensively at diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A child who has cellulitis of the right radius: Cellulitis is a bacterial skin infection that can be contagious, particularly if open lesions are present. Rooming the preschooler with this child increases the risk of infection.
B. A child who has viral pneumonia: Viral pneumonia is highly contagious through respiratory droplets. Placing the postoperative preschooler with this child could expose them to infection, which may compromise recovery and immune function following surgery.
C. A child who has impetigo: Impetigo is a contagious bacterial skin infection. Postoperative children, particularly those recovering from major surgery, are at higher risk for complications from infections, making this roommate inappropriate.
D. A child who has a fractured left femur: A child with a non-infectious condition such as a fracture poses no risk of transmitting infection. Rooming the preschooler with this child supports a safe postoperative environment and minimizes the risk of complications related to infection.
Correct Answer is C
Explanation
A. Feels alienated from their friends: Preschoolers typically do not have a fully developed understanding of illness or death, so feelings of alienation from friends are not an expected developmental response. Their social awareness is limited, and they are more focused on immediate experiences than abstract concepts like mortality.
B. Understands that death is inevitable: Preschoolers generally lack the cognitive development to grasp the permanence of death. They often view death as reversible or temporary, so expecting them to understand its inevitability does not align with typical developmental stages.
C. Believes that death is temporary: At the preschool age, children often see death as a temporary state, similar to sleeping or going away. This belief is consistent with their developmental stage and limited understanding of abstract concepts such as life and mortality.
D. Expresses anxiety about physical changes: While some preschoolers may notice physical changes related to illness, their understanding of these changes is limited, and they are unlikely to articulate anxiety about bodily transformations in the context of terminal illness. Their concerns are more concrete and immediate.
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