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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?

A.

"I will increase my food intake before I exercise."

B.

"As long as I take my insulin, I can eat whatever I want."

C.

"As I get older, my sugar levels will automatically decrease."

D.

"The blood pressure medicine I'm taking will help to keep my insulin level low."

Answer and Explanation

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.


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Related Questions

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B,C"},"C":{"answers":"B,C"},"D":{"answers":"A,C"}}

Explanation

Child's Assessment Findings

Hodgkin Lymphoma

Bacterial Meningitis

Acute Lymphoblastic Leukemia (ALL)

Neurologic

✓

Skin

✓

✓

Pain

✓

✓

Lymph nodes

✓

✓
  • Neurologic: Neurologic symptoms such as lethargy, nuchal rigidity, and headache strongly indicate bacterial meningitis due to infection of the CNS. ALL can also cause neurologic signs through leukemic infiltration of the CNS. These symptoms are not typical in Hodgkin lymphoma.
  • Skin: Petechiae commonly occur in ALL because of thrombocytopenia from bone marrow involvement, and they can appear in bacterial meningitis due to septicemia. Hodgkin lymphoma rarely causes petechiae without marrow involvement.
  • Pain: Headache and nausea are classic for meningitis due to meningeal inflammation. Pain would only occur in ALL if there is CNS involvement. Hodgkin lymphoma usually does not cause acute pain or meningeal symptoms.
  • Lymph nodes: Cervical lymphadenopathy is a defining feature of Hodgkin lymphoma. It also occurs in ALL due to leukemic infiltration, but it is not typical or prominent in bacterial meningitis.

Correct Answer is A

Explanation

A. I will dress my baby in lightweight clothing to sleep: Dressing the infant in lightweight clothing helps prevent overheating, which is a known risk factor for sudden unexpected infant death syndrome (SUIDS). Keeping the baby at a comfortable temperature promotes safer sleep.

B. I will move my baby's stuffed animal to the corner of their crib while they sleep: Any soft objects, including stuffed animals, pillows, or loose bedding, should be removed completely from the sleep area to reduce the risk of suffocation and SUIDS.

C. I will lay my baby on their side to sleep for naps: The safest sleep position for infants is on their back; side-lying positions increase the risk of airway obstruction and sudden infant death syndrome.

D. I will have my baby sleep next to me in bed during the night: Bed-sharing increases the risk of accidental suffocation or overlay and is not recommended for infant sleep safety, especially in infants at risk for SUIDS.

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