The nurse practitioner suspects type 1 diabetes mellitus because a 3-year-old female presents with:
increased weight gain, lethargy, and nocturia.
a persistent vaginal yeast infection, weight loss of 5 pounds in 6 months, and urinary frequency.
weight loss despite a good appetite, increased activity, and frequent stools.
weight gain, increased thirst, and nocturia
The Correct Answer is B
Rationale:
A. Increased weight gain is not typical of type 1 diabetes; lethargy and nocturia alone are nonspecific.
B. A persistent vaginal yeast infection, weight loss, and urinary frequency are classic signs of type 1 diabetes mellitus in young children. Hyperglycemia provides a favorable environment for yeast infections, causes osmotic diuresis (frequent urination), and leads to unintentional weight loss despite normal or increased appetite.
C. Increased activity and frequent stools are not typical presenting features of type 1 diabetes.
D. Weight gain is not consistent with type 1 diabetes; increased thirst and nocturia may occur, but the weight loss seen in option B is more indicative.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Referral to a specialist is not immediately necessary when physical development is normal and there are no other concerning findings.
B. Measuring FSH and LH is indicated if there are signs of delayed puberty or abnormal secondary sexual characteristics, which are absent in this case.
C. hCG testing is used to assess for pregnancy, which is not relevant in a 14-year-old with normal pubertal development and no history suggesting pregnancy.
D. Reassurance and education are appropriate, as menarche typically occurs around Tanner stage 3–4, and variation in timing is normal. Most healthy adolescents who have normal physical development and no other symptoms will begin menstruating by age 15.
Correct Answer is B
Explanation
Rationale:
A. A complete blood count (CBC) includes multiple parameters, but for monitoring iron therapy specifically, hemoglobin and hematocrit are the primary indicators.
B. Hemoglobin (Hgb) and hematocrit (Hct) levels should be rechecked approximately 4 weeks after starting elemental iron supplementation to assess for response to therapy and ensure that anemia is improving.
C. Waiting 8 weeks is longer than necessary to detect an initial therapeutic response; early monitoring helps adjust dosing if needed.
D. Serum ferritin reflects iron stores but is less commonly used for short-term monitoring of therapy response in pregnant adolescents. Hgb/Hct provide more immediate indicators of treatment effectiveness.
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