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 D

Explanation

A. Percussing ankle and knee reflexes. Safe and non-invasive, and does not risk disturbing the tumor.
B. Assessing for bowel sounds. Routine part of assessment and does not involve manipulating the tumor.
C. Performing range-of-motion exercises on lower extremities. Safe and non-invasive, unrelated to the abdominal tumor.
D. Palpating the abdomen. Palpating the abdomen in a child with Wilms' tumor is avoided to prevent the risk of tumor rupture and subsequent metastasis.

A. "Encourage your child to avoid sharing hats with other children." B. "Lice can jump from one child to another." C. "Lice do not survive away from the host." D. "Washing your child's hair daily will prevent lice."

Correct Answer is A

Explanation

A. "Encourage your child to avoid sharing hats with other children." Lice are primarily transmitted through direct head-to-head contact, not by sharing hats or other items.
B. "Lice can jump from one child to another." Lice cannot jump; they crawl from one person to another during direct contact.
C. "Lice do not survive away from the host." Lice can survive away from a host for a limited period (usually less than a day) but not for extended periods.
D. "Washing your child's hair daily will prevent lice." While good hygiene is important, washing hair daily does not necessarily prevent lice infestations.

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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

Which physical assessment technique will the nurse omit when caring for a 2-year-old child diagnosed with Wilms' tumor?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about lice with the parents of a school-age child at a well-child visit. Which of the following information should the nurse include?

Correct Answer is A

Explanation

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