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A patient newly diagnosed with insulin-dependent diabetes mellitus comes to the clinic one month after diagnosis. The mother tells the nurse, "My child is getting better. The glucose levels are almost normal and my child requires less insulin.". What is the most appropriate response by the nurse?

"The improvement may indicate a misdiagnosis of insulin-dependent diabetes mellitus.".

"The improvement is evidence of the creation of new insulin-producing cells in the pancreas.".

"The improvement is a temporary response of the insulin-producing cells of the pancreas.".

"The improvement is the beginning of a complete recovery for your child.".

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Misdiagnosis is unlikely since the glucose levels are improving, indicating a valid diagnosis.

Choice B rationale:

Insulin-producing cells don't regenerate in substantial amounts to normalize glucose levels within a month. This process takes longer.

Choice C rationale:

This choice correctly identifies the situation as a temporary improvement due to the remaining insulin-producing cells functioning better temporarily.

Choice D rationale:

Complete recovery is not likely in such a short time frame.

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Correct Answer is B

Explanation

Choice A rationale:

Placing the patient in halo traction is not applicable for a scoliosis correction surgery with Harrington rods. Halo traction is typically used for cervical spine injuries or deformities, not for scoliosis correction.

Choice B rationale:

The correct answer. After Harrington rod insertion, maintaining proper alignment is crucial to prevent complications. Using a log-roll technique when turning the patient helps maintain spinal alignment and prevent stress on the surgical site.

Choice C rationale:

Keeping the patient nothing by mouth for 72 hours is not typically necessary after scoliosis surgery. Clear fluids and a light diet are usually initiated shortly after surgery.

Choice D rationale:

Restricting visitors for 48 hours is not a standard practice after scoliosis surgery unless there are specific infection control concerns, which are not mentioned in the scenario.

A. "The VCUG will be able to fix the reason why she is having frequent urinary tract infections.”. B. "The healthcare provider will use the VCUG to view her urinary tract and bladder to see if everything is okay.”. C. "The VCUG is going to administer antibiotics directly into her urinary tract because she is having too many infections.”. D. "A VCUG will be attached to her bladder so it can monitor my child's ability to potty for several days.".

Correct Answer is B

Explanation

"The healthcare provider will use the VCUG to view her urinary tract and bladder to see if everything is okay.”.

Choice A rationale:

Administering antibiotics or fixing underlying issues are not the purposes of a voiding cystourethrogram (VCUG). VCUG is a diagnostic imaging procedure used to visualize the urinary tract and bladder for structural abnormalities, not to administer treatments.

Choice B rationale:

This choice accurately reflects the purpose of a VCUG. It is a radiographic study that involves using contrast dye to visualize the urinary tract, helping healthcare providers identify any anatomical abnormalities or functional issues related to the bladder.

Choice C rationale:

The statement in Choice C is incorrect. VCUG is not used to administer antibiotics directly into the urinary tract. It is primarily a diagnostic procedure, not a treatment method.

Choice D rationale:

Choice D is inaccurate. A VCUG is not attached to the bladder, nor is it used for monitoring a child's ability to urinate over an extended period. It is a one-time imaging procedure.

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A patient newly diagnosed with insulin-dependent diabetes mellitus comes to the clinic one month after diagnosis. The mother tells the nurse, "My child is getting better. The glucose levels are almost normal and my child requires less insulin.". What is the most appropriate response by the nurse?

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Naxlex Comprehensive Predictor Exams

A 13-year-old with severe scoliosis is admitted for insertion of Harrington rods. In preparing the patient for postoperative care, the nurse should provide which information?

Correct Answer is B

Explanation

Which statement made by the caregiver of a 2-year-old child who is scheduled to have a voiding cystourethrogram (VCUG) indicates a correct understanding of the procedure?

Correct Answer is B

Explanation

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