A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?
"I can store unopened bottles of insulin in the freezer.
I should not take my regular insulin when I am sick."
"My morning blood glucose should be between 90 and 130.
I should eat a snack half an hour before playing soccer
The Correct Answer is D
A) "I can store unopened bottles of insulin in the freezer."
This statement is incorrect. Insulin should not be stored in the freezer. Insulin should be stored in the refrigerator, and the currently used vial can be kept at room temperature for up to 28 days to avoid the discomfort of injecting cold insulin.
B) "I should not take my regular insulin when I am sick."
This statement is incorrect. When a person with type 1 diabetes is sick, it's important to continue taking insulin. In fact, during illness, blood sugar levels can become more difficult to manage, and insulin may be needed in adjusted doses. Skipping insulin during sickness can lead to uncontrolled blood sugar levels and potentially worsen the illness.
C) "My morning blood glucose should be between 90 and 130."
This statement is a good range to aim for in terms of fasting blood glucose levels, but it's not an indication of understanding the teaching about diabetes management as a whole. While this knowledge is important, the statement about eating a snack before playing soccer directly reflects understanding of how to manage blood sugar during physical activity.
"D) I should eat a snack half an hour before playing soccer."
Explanation:
Managing blood sugar levels is crucial for individuals with type 1 diabetes, especially when engaging in physical activities like playing soccer. Eating a snack before playing helps prevent hypoglycemia (low blood sugar) during exercise. Physical activity can cause the body to use up glucose faster, potentially leading to low blood sugar levels, and having a snack before exercise can help maintain stable blood sugar levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Inattention, Hyperactivity, Impulsivity
Explanation: Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by symptoms of inattention, hyperactivity, and impulsivity. These symptoms can significantly impact an individual's ability to function in various areas of their life, such as school, work, and social interactions.
The other options are not accurate descriptions of ADHD:
B. "Can never be well treated" is not correct. ADHD can be effectively managed and treated through a combination of strategies, which may include behavioral interventions, psychoeducation, counseling, and in some cases, medication.
C. "Inability to learn" is not a defining characteristic of ADHD. While individuals with ADHD might face challenges in learning due to their symptoms, they are certainly capable of learning and can benefit from tailored strategies to support their learning process.
D. "Excess tiredness, impulsivity, and hyperactivity" describes a combination of symptoms, but ADHD is specifically characterized by inattention, hyperactivity, and impulsivity. Tiredness, while not a primary symptom of ADHD, can be a secondary effect of difficulties in focusing and maintaining attention.
Correct Answer is C
Explanation

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