The formula used to calculate daily insulin requirements in children younger than 12 years who have type 1 diabetes mellitus is:
0.1-0.2 u/kg/day.
0.25-0.45 u/kg/day.
0.3-1.00 u/kg/day.
1-1.5 u/kg/day.
The Correct Answer is B
Rationale:
A. 0.1–0.2 u/kg/day is too low for initial insulin requirements in children with type 1 diabetes.
B. 0.25–0.45 units/kg/day is the recommended starting total daily insulin dose for children younger than 12 years. This total is typically divided into basal and bolus doses to achieve glycemic control while minimizing the risk of hypoglycemia.
C. 0.3–1.0 u/kg/day may be used in older children or adolescents, especially during puberty when insulin resistance increases.
D. 1–1.5 u/kg/day is generally too high for initial dosing and may increase the risk of hypoglycemia in younger children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Infection with HPV, especially high-risk strains, is strongly associated with cervical cancer.
B. Hardening of the cervix can indicate malignant changes.
C. An irregular, cauliflower-like cervical growth is a classic visual finding in cervical cancer.
D. A cervical polyp is typically benign and does not usually suggest cervical cancer, though it may cause abnormal bleeding.
Correct Answer is C
Explanation
Rationale:
A. A foreign object in the nostril typically causes unilateral nasal discharge, often foul-smelling, but not pale and boggy mucous membranes.
B. Sinusitis usually presents with nasal congestion, purulent discharge, and facial pain or pressure; the mucosa is often erythematous rather than pale and boggy.
C. Chronic allergic rhinitis commonly causes pale, boggy, and edematous nasal mucous membranes due to chronic inflammation and allergic response. Other associated symptoms include sneezing, nasal itching, and clear rhinorrhea.
D. Acute bronchiolitis primarily affects the lower respiratory tract and presents with wheezing, cough, and respiratory distress, not pale and boggy nasal mucosa.
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