A nurse is reinforcing teaching with the parent of a child who is newly diagnosed with diabetes mellitus. Which of the following guidelines should the nurse include?

"Your child should increase carbohydrate intake when sick."

"You should omit your child's bedtime snack."

"Your child's meal plan should consist mainly of proteins."

"Your child's meal plan should include a snack before physical activity."

Answer and Explanation

The Correct Answer is D

Rationale:

A) Increasing carbohydrate intake when sick can disrupt blood sugar control and should be done cautiously under the guidance of a healthcare provider.

B) Omitting the bedtime snack can lead to overnight hypoglycemia, especially in children with diabetes who are at risk for low blood sugar during the night.

C) While proteins are part of a balanced diet, the main focus of a child's meal plan with diabetes should be on balancing carbohydrates with proteins and fats for better blood sugar control.

D) Including a snack before physical activity helps prevent hypoglycemia during exercise by providing additional carbohydrates to fuel the activity.

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Correct Answer is C

Explanation

Rationale:

A) Watching TV before bed can be stimulating and disrupt sleep patterns.

B) Allowing the child to fall asleep in the parent's bed and then moving them to their own bed can create dependency and disrupt sleep patterns.

C) This statement shows that the parent understands the importance of hydration and avoiding caffeine or sugar before bed.

D) Eating dinner too close to bedtime can cause indigestion, reflux or nightmares and also disrupts the child’s metabolism.

A. "My child should use their index finger to obtain blood samples." B. "My child should hold their finger under warm water before obtaining a sample." C. "My child should puncture the center of their finger pad when obtaining a sample." D. "My child should hold their finger against a table when obtaining a sample."

Correct Answer is B

Explanation

Rationale:

A) Using the index finger is a common site for blood glucose monitoring, but it does not specifically address minimizing pain.

B) Holding the finger under warm water can increase blood flow and make blood glucose monitoring less painful.

C) Puncturing the center of the finger pad is a common technique for obtaining a blood sample, but it does not specifically address minimizing pain.

D) Holding the finger against a table is not a recommended method for minimizing pain during blood glucose monitoring and may increase discomfort.

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A nurse is reinforcing teaching with the parent of a child who is newly diagnosed with diabetes mellitus. Which of the following guidelines should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the parent of a toddler about promoting effective sleep patterns. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with the parent of a child who has diabetes mellitus. The parent asks the nurse how to minimize the child's pain when monitoring blood glucose levels. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is B

Explanation

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