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 ["A","B","C","D"]

Explanation

A. Change diapers frequently. Frequent diaper changes reduce prolonged contact with moisture, decreasing the risk of dermatitis.
B. Allow the buttocks to air-dry. Air-drying helps to keep the skin dry and allows it to heal, preventing further irritation.
C. Use commercial baby wipes that are free of alcohol and fragrances to cleanse the area. Alcohol and fragrance-free wipes minimize further irritation to the sensitive skin.
D. Apply zinc oxide ointment to the affected area. Zinc oxide creates a protective barrier that helps heal and protect the skin from moisture and irritants.
E. Apply talcum powder with every diaper change. Talcum powder is not recommended as it can be inhaled by the infant and may cause respiratory issues.

A. A barium enema B. IV fluids until the spasms subside C. Immediate surgery D. Gastric lavage

Correct Answer is A

Explanation

A. A barium enema: A barium enema is both diagnostic and therapeutic for intussusception in many cases. It helps to diagnose the condition by visualizing the telescoped intestine and can also often reduce the intussusception by hydrostatic pressure.
B. IV fluids until the spasms subside: IV fluids are important for managing dehydration and maintaining hydration but do not directly treat intussusception.
C. Immediate surgery: Surgery may be necessary if non-operative reduction methods fail or if there are complications like bowel necrosis or perforation. However, it is not the first-line treatment choice.
D. Gastric lavage: Gastric lavage (stomach pumping) is not indicated for the treatment of intussusception.

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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 assisting with admitting an infant who has diaper dermatitis. Which of the following actions should the nurse plan to take? (Select All that Apply.)

Correct Answer is ["A","B","C","D"]

Explanation

What is the treatment of choice for a child with intussusception?

Correct Answer is A

Explanation

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