Identify the differences between type 1 and type 2 diabetes in pediatric patients.
Type 2 diabetes may be managed with lifestyle changes alone.
Type 2 diabetes is associated with insulin resistance.
Type 1 diabetes is usually diagnosed in younger children and adolescents.
Type 1 diabetes is caused by an autoimmune process.
Type 1 diabetes is associated with obesity.
Type 1 diabetes can be cured with lifestyle changes.
Type 1 diabetes can be prevented with healthy eating.
Type 2 diabetes is typically diagnosed in infants and toddlers.
Correct Answer : A,B,C,D
Choice A rationale
Type 2 diabetes in pediatric patients can sometimes be managed effectively through lifestyle modifications alone, particularly in the early stages. These changes include dietary adjustments to reduce sugar and processed foods, increased physical activity to improve insulin sensitivity, and weight management.
Choice B rationale
Insulin resistance is a key pathophysiological feature of type 2 diabetes. In this condition, the body's cells do not respond effectively to insulin, leading to elevated blood glucose levels as glucose cannot enter the cells for energy. The pancreas initially produces more insulin to compensate, but eventually, it may not be able to keep up.
Choice C rationale
Type 1 diabetes is more commonly diagnosed in younger children and adolescents, often presenting with acute symptoms. It results from the autoimmune destruction of insulin-producing beta cells in the pancreas, leading to an absolute deficiency of insulin.
Choice D rationale
Type 1 diabetes is an autoimmune disease where the body's immune system mistakenly attacks and destroys the pancreatic beta cells that produce insulin. This autoimmune process is often triggered by genetic predisposition and environmental factors but is not directly caused by lifestyle.
Choice E rationale
Obesity is a significant risk factor for the development of type 2 diabetes due to its association with increased insulin resistance. While individuals with type 1 diabetes can also be obese, obesity is not the primary cause of type 1 diabetes.
Choice F rationale
Type 1 diabetes cannot be cured with lifestyle changes alone because it involves the permanent destruction of insulin-producing cells. Individuals with type 1 diabetes require lifelong insulin therapy to survive.
Choice G rationale
Type 1 diabetes cannot be prevented with healthy eating or other lifestyle modifications because it is an autoimmune condition. The onset is not directly linked to dietary habits or physical activity levels.
Choice H rationale
Type 2 diabetes is less common in infants and toddlers and is more frequently diagnosed in older children, adolescents, and adults, often associated with factors like obesity, family history, and sedentary lifestyle.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Monitoring for signs of infection is crucial in children with spina bifida due to the potential for meningitis and urinary tract infections related to neurological deficits and potential openings in the spinal cord. Normal white blood cell count ranges from 4,500 to 11,000 per microliter, and fever, redness, swelling, or purulent drainage would indicate infection.
Choice B rationale
Encouraging mobility is important to promote development and prevent complications like contractures. However, in the immediate postoperative period or with significant neurological impairment, maintaining skin integrity takes precedence to prevent infection and further complications.
Choice C rationale
Providing nutritional support is essential for growth and development in children with spina bifida, who may have feeding difficulties or increased metabolic needs. Adequate nutrition supports overall health, but preventing skin breakdown in areas prone to pressure is a more immediate concern.
Choice D rationale
Maintaining skin integrity is the most important intervention because children with spina bifida often have sensory and motor deficits that make them susceptible to pressure ulcers, especially over bony prominences and the surgical site if a myelomeningocele repair has occurred. Skin breakdown can lead to serious infections and complications.
Correct Answer is D
Explanation
Choice A rationale
Inserting a nasogastric tube for decompression of the abdomen is a standard intervention for suspected Hirschsprung's disease, which is characterized by a lack of ganglion cells in a segment of the colon, leading to impaired motility and potential bowel obstruction. Decompression helps relieve abdominal distension and pressure.
Choice B rationale
NPO status and initiating IV fluids are appropriate initial management for a child with suspected Hirschsprung's disease to rest the bowel and maintain hydration and electrolyte balance while further diagnostic tests are performed.
Choice C rationale
Monitoring abdominal girth every 4 hours is essential to assess for increasing abdominal distension, which can indicate worsening obstruction in Hirschsprung's disease. An increasing girth would warrant further investigation and intervention.
Choice D rationale
Administering a large-volume liquid enema is contraindicated in suspected Hirschsprung's disease. Due to the aganglionic segment's impaired motility, the enema fluid may not be expelled and could lead to fluid overload or bowel perforation. Diagnostic enemas using contrast are performed under controlled conditions.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.