A nurse is providing teaching to a school-age client who has a new diagnosis of type 1 diabetes mellitus. Which statement by the client indicates an understanding of the teaching?

"I will reduce my insulin dose if I am sick."

"I will eat a snack half an hour before playing soccer."

"I will count the amount of fat calories I consume to manage my diabetes."

"I will check my blood glucose level after meals."

Answer and Explanation

The Correct Answer is B

A. Insulin doses should not be reduced when sick, as illness often increases blood glucose levels.

B. Eating a snack before physical activity helps prevent hypoglycemia, demonstrating a good understanding of how to manage blood glucose levels during exercise.

C. Counting carbohydrates, not fat calories, is essential for managing blood glucose levels in diabetes.

D. Blood glucose levels are typically checked before meals and at other key times, rather than only after meals.

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Correct Answer is B

Explanation

A. Polyuria is not commonly associated with heart failure in infants; they are more likely to have oliguria or reduced urine output.

B. Difficulty feeding is a common sign of heart failure in infants because the increased work of breathing and poor cardiac output make it hard for them to feed effectively.

C. Bradycardia is not typically associated with heart failure; tachycardia is more common as the heart tries to compensate for decreased cardiac output.

D. Bradypnea is uncommon in heart failure; tachypnea is a more likely symptom due to fluid overload and poor oxygenation.

A. Improvement in neurologic function B. Weight gain C. Absence of protein in urine sampling D. Negative gram stain via urine culture

Correct Answer is C

Explanation

A. Neurologic function is not typically affected by nephrotic syndrome, so improvement in this area is not an indicator of recovery.

B. Weight gain might indicate fluid retention rather than recovery in nephrotic syndrome.

C. The absence of protein in the urine indicates that the kidneys are functioning properly and that the syndrome is resolving. Proteinuria is a hallmark of nephrotic syndrome, so its resolution is a key sign of recovery.

D. A negative gram stain is more relevant to infections, not nephrotic syndrome.

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A nurse is providing teaching to a school-age client who has a new diagnosis of type 1 diabetes mellitus. Which statement by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An infant is admitted to the pediatric unit with heart failure due to a congenital heart defect. What assessment finding would the nurse expect with this diagnosis?

Correct Answer is B

Explanation

A nurse is caring for a school-age client diagnosed with nephrotic syndrome. What changes indicates recovery in a client with this syndrome?

Correct Answer is C

Explanation

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