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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A) Taking rectal temperatures may increase the risk of infection and is not typically recommended during chemotherapy.
B) Live vaccines such as MMR are generally contraindicated during chemotherapy due to the risk of vaccine-related complications in immunocompromised individuals.
C) Going to the park may expose the child to environmental pathogens and is not recommended during chemotherapy.
D) Inspecting the inside of the child's mouth for sores is important for early detection of oral mucositis, a common side effect of chemotherapy that can increase the risk of infection.
Correct Answer is A
Explanation
Rationale:
A) Selecting a bottle with a one-way flow valve can help control the flow of milk, making it easier for the infant to manage feeding with a cleft palate.
B) Choosing a bottle with a narrow nipple may not be as effective in controlling milk flow for an infant with a cleft palate.
C) Burping the infant regularly is important during feeding, but it does not specifically address the challenges associated with feeding a child with a cleft palate.
D) The football hold may or may not be helpful depending on the individual infant's feeding preferences and the severity of the cleft palate.
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