A nurse is discharging a child who has diabetes mellitus from a pediatric unit. What statement by the child indicates that he or she understands the discharge instructions?

"I have to check my blood sugar level before and after each meal."

"I have to give myself insulin injections in the same spot every time."

"I have to eat a balanced diet that has consistent amounts of carbohydrates."

"I have to call the doctor if I feel very thirsty, tired, or nauseous."

Answer and Explanation

The Correct Answer is D

Choice A reason: This statement by the child indicates a partial understanding of the discharge instructions, as it shows awareness of the importance of blood glucose monitoring for diabetes mellitus. However, the child may also need to check his or her blood sugar level at other times, such as before bedtime, before exercise, or when sick.

Choice B reason: This statement by the child indicates a need for further teaching, as it shows a misunderstanding of the proper technique for insulin administration for diabetes mellitus. The child should rotate the injection sites to prevent lipodystrophy, a condition that causes lumps or dents in the skin.

Choice C reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the importance of dietary management for diabetes mellitus. The child should follow a balanced and consistent carbohydrate diet that matches the insulin dose and activity level.

Choice D reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the signs and symptoms of hyperglycemia, a condition that occurs when the blood sugar level is too high and can lead to diabetic ketoacidosis, a serious complication of diabetes mellitus.

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Correct Answer is B

Explanation

Choice A reason: This statement by the nurse may not be appropriate for a 2-year-old toddler, as it does not offer any choice or control to the toddler. It may also sound scary or intimidating to the toddler.

Choice B reason: This statement by the nurse would be most appropriate for a 2-year-old toddler, as it offers a limited choice and a sense of control to the toddler. It also shows respect for the toddler's preferences and autonomy.

Choice C reason: This statement by the nurse may not be appropriate for a 2-year-old toddler, as it does not offer any choice or control to the toddler. It may also sound demanding or threatening to the toddler.

Choice D reason: This statement by the nurse may not be appropriate for a 2-year-old toddler, as it does not relate to the physical assessment. It may also distract or confuse the toddler from what is being done.

A. The onset, duration, location, and intensity of abdominal pain B. The presence, frequency, color, and consistency of bowel movements C. The history of allergies, medications, immunizations, and surgeries D. The type, amount, time, and tolerance of last oral intake

Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason: This information should be obtained from the child and family, as it helps assess the severity and progression of appendicitis and its complications.

Choice B reason: This information should be obtained from the child and family, as it helps evaluate the bowel function and rule out other causes of abdominal pain such as constipation or diarrhea.

Choice C reason: This information should be obtained from the child and family, as it helps identify any risk factors or contraindications for treatment such as allergic reactions, drug interactions, vaccine-preventable diseases, or previous abdominal surgeries.

Choice D reason: This information should be obtained from the child and family, as it helps determine the nutritional status and fluid balance of the child and prepare for surgery if indicated.

Choice E reason: This information is not specific for the admission and discharge of a child who has appendicitis, as it does not affect the diagnosis or treatment of the condition. It may be more relevant for other gastrointestinal disorders.

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A nurse is discharging a child who has diabetes mellitus from a pediatric unit. What statement by the child indicates that he or she understands the discharge instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a physical assessment on a 2-year-old toddler who is being admitted to the pediatric unit. What statement by the nurse would be most appropriate to elicit cooperation from the toddler?

Correct Answer is B

Explanation

A nurse is admitting a child who has appendicitis to a pediatric unit. What information should the nurse obtain from the child and family? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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