A nurse is providing teaching to a 14-year-old adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?
"I will increase my food intake before I exercise."
"As long as I take my insulin, I can eat whatever I want."
"As I get older, my sugar levels will automatically decrease."
"The blood pressure medicine I'm taking will help to keep my insulin level low."
The Correct Answer is A
A. "I will increase my food intake before I exercise.": This indicates understanding, as additional carbohydrates may be needed before physical activity to prevent exercise-induced hypoglycemia. Adolescents with type 1 diabetes must learn to balance insulin, food intake, and activity.
B. "As long as I take my insulin, I can eat whatever I want.": Insulin helps manage blood glucose, but dietary choices still matter. Consuming high-sugar or high-fat foods can lead to poor glycemic control, even with insulin administration.
C. "As I get older, my sugar levels will automatically decrease.": Blood glucose levels do not automatically improve with age. Diabetes management remains essential throughout life and often requires adjustments during puberty due to hormonal changes.
D. "The blood pressure medicine I'm taking will help to keep my insulin level low.": Antihypertensives do not regulate insulin levels. Insulin therapy must be managed separately, and medications for blood pressure address cardiovascular risk, not glycemic control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Wrap the ankle with an elastic bandage: Applying an elastic bandage provides compression, which helps reduce swelling by limiting fluid accumulation in the injured tissues. Compression also supports the ankle and helps prevent further injury.
B. Encourage active exercise of the ankle: Active exercise immediately after a sprain can increase swelling and worsen the injury. Rest and immobilization are essential in the initial phase to promote healing and minimize inflammation.
C. Place the ankle below the level of the heart: Positioning the ankle below heart level promotes blood pooling and increases swelling. Elevation above heart level is recommended to help reduce edema.
D. Apply ice packs directly to the ankle in 60 min intervals: Ice helps reduce swelling and pain, but applying ice directly to the skin can cause tissue damage. Ice packs should be wrapped in a cloth and applied intermittently (usually 15–20 minutes on, then off) to avoid frostbite and skin injury.
Correct Answer is D
Explanation
A. Massaging the skin under the straps is crucial to prevent skin breakdown and irritation, which can occur due to constant pressure and friction from the harness. Regular, gentle massage helps to promote circulation and skin integrity.
B. Using lotion under the harness is not recommended as it can trap moisture and contribute to skin irritation or breakdown. The area should remain dry and free from creams or oils to prevent fungal or bacterial infections.
C. Adjusting the harness straps should only be done by the healthcare provider. Weekly adjustments by the parent can lead to improper positioning and reduce the effectiveness of the treatment, potentially causing harm to the infant’s hip development.
D. Placing the diaper under the straps is the correct instruction. This ensures that the diaper does not interfere with the proper positioning and function of the harness, which is designed to keep the infant's hips in a flexed and abducted position.
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