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 B
Explanation
A. Gymnastics: This sport involves a high risk of falls and joint injuries, which can cause bleeding episodes in children with hemophilia and should generally be avoided.
B. Bowling: Bowling is a low-impact sport with minimal risk of trauma or injury, making it safer and more appropriate for children with hemophilia to participate in.
C. Basketball: This is a high-impact, contact sport with a significant risk of collisions and falls, increasing the chance of bleeding episodes in hemophilia.
D. Soccer: Soccer involves running, sudden stops, and physical contact, which can increase the risk of injuries and bleeding in children with hemophilia.
Correct Answer is D
Explanation
A. Observe abdominal movement to determine the respiratory rate: While observing abdominal movement can help count respirations, in adolescents, chest movement should also be assessed since diaphragmatic breathing is less dominant than in infants.
B. Auscultate the abdomen for at least 1 min if bowel sounds are absent: Bowel sounds should be assessed for a full minute before concluding they are absent; this is standard practice, but it is not a unique action specific to adolescent assessment.
C. Use the FACES scale to assess pain: The FACES pain scale is designed primarily for younger children (typically ages 3 to 8); adolescents generally respond better to numeric or descriptive pain scales.
D. Have the child bend forward at the waist and check for asymmetry of the scapula: This is the recommended screening method for scoliosis, which commonly develops during adolescence; assessing scapular asymmetry during forward bending is appropriate and important for this age group.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.