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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Always infantize the child

Incorrect Explanation: "Infantizing" a child with a growth hormone deficiency is not a relevant or appropriate approach.

Explanation: Growth hormone deficiency is a medical condition that affects a child's growth. Treating the child as an infant could potentially have negative psychological and social effects. It's important to provide appropriate support and understanding without treating the child differently due to their medical condition.

B. Monitor for leukemia

Incorrect Explanation: Monitoring for leukemia is not directly related to growth hormone deficiency.

Explanation: Growth hormone deficiency primarily affects a child's growth and development due to inadequate production of growth hormone. While there might be certain health concerns associated with the condition, monitoring for leukemia is not a common aspect of managing growth hormone deficiency.

C. Help the parents set realistic goals based on the child's age and abilities

Correct Explanation: This is an important aspect to include in teaching.

Explanation: When a child is diagnosed with growth hormone deficiency, it's crucial for parents to set realistic expectations regarding their child's growth. Growth hormone therapy can help, but it's essential to understand that the child's growth might still differ from their peers. Setting realistic goals based on the child's age and abilities can help manage expectations and provide appropriate support.

D. This illness is only seen in males

Incorrect Explanation: Growth hormone deficiency is not limited to males.

Explanation: Growth hormone deficiency can affect individuals of any gender. It is not exclusive to males. The condition results from insufficient production of growth hormone by the pituitary gland, and it can occur in both males and females.

A. The fact that the patient is male B. The fact that the patient is female. C. Developmental milestones D. The number of urinary tract infections the patient has had

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

Explanation

A. The fact that the patient is male

Incorrect Explanation: The patient's gender does not directly provide important information about the history of reflux.

Explanation: Vesicoureteral reflux (VUR), which is the retrograde flow of urine from the bladder into the ureters, can affect individuals of any gender. While gender might have some implications for certain conditions, it is not a critical factor in understanding the history of reflux.

B. The fact that the patient is female.

Incorrect Explanation: The patient's gender does not directly provide important information about the history of reflux.

Explanation: Just like with the previous option, the patient's gender does not play a significant role in the history of vesicoureteral reflux. The condition can affect both males and females.

C. Developmental milestones

Correct Explanation: Developmental milestones are important in understanding the history of reflux.

Explanation: Developmental milestones are significant because VUR is more common in infants and young children. Infants and young children have a higher likelihood of developing reflux due to the immaturity of their urinary tract systems. Knowing about the patient's developmental milestones can help assess the risk and potential severity of reflux.

D. The number of urinary tract infections the patient has had

Correct Explanation: The number of urinary tract infections (UTIs) is important in understanding the history of reflux.

Explanation: Repeated urinary tract infections can be a sign of vesicoureteral reflux. The backflow of urine from the bladder into the ureters can contribute to UTIs. Monitoring the frequency of UTIs can provide insights into the presence and severity of reflux.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching the parents of a child with a newly diagnosed Growth Hormone Deficiency. From the answers below, what should she include in her teaching

Correct Answer is C

Explanation

We know that reflux refers to the retrograde flow of bladder urine into the ureters, which of the following items are important information in the patient’s history? (Select All that Apply)

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

Explanation

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