A nurse is providing teaching to a school-age child who has a diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching?

"I should not take my regular insulin when I am sick."

"I will rotate injections sites within my abdominal area."

"I will test my blood sugar before meals and at bedtime."

"I should eat a snack before I play soccer."

Answer and Explanation

The Correct Answer is A

A. "I should not take my regular insulin when I am sick." Regular insulin should not be withheld during illness, as blood glucose levels can increase during times of stress or infection. This statement indicates the child needs further education on managing diabetes during illness.
B. "I will rotate injections sites within my abdominal area." Rotating injection sites within a specific area helps to prevent lipodystrophy and ensures consistent absorption of insulin. This statement shows appropriate understanding.
C. "I will test my blood sugar before meals and at bedtime." Frequent monitoring of blood glucose is essential in managing type 1 diabetes. This statement indicates correct knowledge of monitoring practices.
D. "I should eat a snack before I play soccer." Eating a snack before physical activity helps to prevent hypoglycemia. This statement indicates a proper understanding of diabetes management related to exercise.

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Correct Answer is B

Explanation

A. "I expect the color of my urine to be amber." Ferrous sulfate does not typically affect the color of urine. This statement indicates a misunderstanding of the medication's effects.
B. "I will expect dark, tarry stools." Ferrous sulfate can cause stools to become dark or black, which is a common and expected side effect due to the iron content. This indicates the client understands a normal side effect of the medication.
C. "I will not get as many infections." Ferrous sulfate is used to treat iron deficiency anemia and does not directly influence the incidence of infections. This indicates a lack of understanding of the medication’s purpose.
D. "I will take extra care to protect against increased bruising." Increased bruising is not associated with ferrous sulfate. This indicates a misunderstanding of the medication's side effects.

A. Diarrhea B. Swollen joints C. Abdominal mass D. Jaundice

Correct Answer is C

Explanation

A. Diarrhea: Diarrhea is not a typical finding associated with Wilms' tumor.
B. Swollen joints: Swollen joints are not associated with Wilms' tumor and would suggest a different condition.
C. Abdominal mass: Wilms' tumor typically presents with an asymptomatic abdominal mass that may be firm, non-tender, and palpable.
D. Jaundice: Jaundice is not typically associated with Wilms' tumor and would suggest liver dysfunction or another underlying cause.

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A nurse is providing teaching to a school-age child who has a diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is prescribed ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is collecting data from a 1-year-old child who has Wilms' tumor. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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