An adolescent with type 1 diabetes mellitus will become a member of the school's football cheerleader team. The adolescent excitedly reports to the school nurse to obtain information regarding adjustments needed in the treatment plan for the diabetes. The school nurse would explain to the adolescent to take which action?

Take the prescribed insulin 30 minutes before practice or game time rather than in the morning.

Eat half the amount of food normally eaten at lunchtime.

Eat six graham crackers or drink a cup of orange juice before practice or game time.

Take two times the amount of prescribed insulin on practice and game days.

Answer and Explanation

The Correct Answer is C

A. Take the prescribed insulin 30 minutes before practice or game time rather than in the morning. Insulin timing should generally be consistent with meal times to match insulin action with food intake. Adjusting timing without medical advice can lead to imbalanced blood sugar levels.
B. Eat half the amount of food normally eaten at lunchtime. Eating less food than usual can lead to hypoglycemia during prolonged physical activity and is not recommended.
C. Eat six graham crackers or drink a cup of orange juice before practice or game time. This action helps to prevent hypoglycemia during physical activity by providing quick-acting carbohydrates that can be readily absorbed and utilized by the body.
D. Take two times the amount of prescribed insulin on practice and game days. Doubling insulin doses without medical supervision can lead to hypoglycemia and is not appropriate for managing blood sugar during physical activity.

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Correct Answer is B

Explanation

A. Dilute the medication with 240 mL (8 oz) of milk. Milk can inhibit iron absorption, so it's not recommended to mix iron supplements with milk.
B. Administer the medication at meal time. Iron supplements are best absorbed when taken with food, specifically vitamin C-rich foods to enhance absorption. This instruction promotes optimal therapeutic effect.
C. Administer the medication at bedtime: Timing with meals is more effective than at bedtime.
D. Offer the medication through a straw. The method of administration is less critical than the timing with meals.

A. Empty bladder completely with each void B. Avoid bubble baths C. Increase fiber intake D. Wear nylon underpants E. Watch for manifestations of infection

Correct Answer is ["A","B","E"]

Explanation

A. Empty bladder completely with each void: Ensuring the bladder is completely emptied helps to reduce the risk of residual urine, which can promote bacterial growth and increase the risk of UTIs.
B. Avoid bubble baths: Bubble baths can irritate the urethra and promote bacterial growth, increasing the risk of UTIs. Avoiding them helps in prevention.
C. Increase fiber intake: Increasing fiber intake is not directly related to UTI prevention and is more relevant to digestive health.
D. Wear nylon underpants; Nylon underpants can trap moisture and create a warm environment that supports bacterial growth. Cotton underwear is recommended instead.
E. Watch for manifestations of infection: Being vigilant for signs of infection such as fever, pain, or changes in urination patterns is crucial for early detection and treatment of UTIs.

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Naxlex Comprehensive Predictor Exams

A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and is to start taking ferrous sulfate syrup. Which of the following instructions should the nurse give the parent?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with the guardian of a child who has a urinary tract infection. Which of the following instructions should the nurse include? SELECT ALL THAT APPLY (Select All that Apply.)

Correct Answer is ["A","B","E"]

Explanation

A nurse is teaching the parents of a child who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following manifestations should the nurse include in the teaching?

A nurse is assisting in the care of a toddler. Exhibits A nurse is assisting in the care of a client. Complete the following sentence by using the list of options. The nurse should first address the child's dropdown followed by the child's dropdown.

A nurse is reinforcing teaching with a client who is prescribed ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?

The nurse is collecting data on a child recently diagnosed with glomerulonephritis. Which question to the parent would elicit information about the cause of this disease?

The nurse is caring for a hospitalized child newly diagnosed with type 1 diabetes mellitus. At 1100, the child suddenly complains of weakness, headache, and blurred vision. How would the nurse respond?

A nurse is collecting data from a 1-year-old child who has Wilms' tumor. Which of the following findings should the nurse expect?

A nurse is caring for a toddler who has intussusception. Which of the following manifestations should the nurse expect?

The school nurse is performing pediculosis capitis (head lice) assessments. Which assessment finding indicates that a child has a "positive" head check for lice?