The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which information is best for the nurse to offer the parents?

Recommend an increase in caloric intake to avoid excessive weight loss.

Reassure the parents that increased physical activity reduces the risk for diabetes.

Suggest a less strenuous activity to reduce the risk for dehydration.

Instruct the family about the need to adjust the insulin dose before exercise.

Answer and Explanation

The Correct Answer is B

A.   Recommend an increase in caloric intake to avoid excessive weight loss. While regular physical activity can increase caloric expenditure, it is not typically associated with excessive weight loss, especially in children. Prediabetes management focuses on lifestyle changes such as increased physical activity and healthy eating habits rather than increasing caloric intake.
B.   Reassure the parents that increased physical activity reduces the risk for diabetes. Regular physical activity is beneficial for individuals with prediabetes as it improves insulin sensitivity, helps control weight, and reduces the risk of developing type 2 diabetes.
C.   Suggest a less strenuous activity to reduce the risk for dehydration. Soccer can be a physically demanding sport, but proper hydration practices can help prevent dehydration. Encouraging the child to drink plenty of fluids before, during, and after soccer practice or games can help
maintain hydration levels.

D. Instruct the family about the need to adjust the insulin dose before exercise. Prediabetes typically does not require insulin therapy. However, if the child progresses to diabetes and requires insulin, adjustments to insulin doses may be necessary to prevent hypoglycemia during exercise, but this is not relevant to the current scenario.

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Correct Answer is A

Explanation

A. Vitamin B12. Nystagmus, ataxia (loss of control of bodily movements), and tremors are neurological symptoms associated with vitamin B12 deficiency, particularly in individuals with a history of alcohol abuse who may have impaired absorption of nutrients due to gastrointestinal
issues.

B. Lack of dietary vitamin A. Vitamin A deficiency can lead to various symptoms, but it is not typically associated with nystagmus, ataxia, and tremors.
C. Protein starvation. Protein deficiency can cause various symptoms, but it is not typically associated with nystagmus, ataxia, and tremors.
D. Iron deficiency anemia. Iron deficiency anemia can cause fatigue, weakness, and pale skin, but it is not typically associated with nystagmus, ataxia, and tremors.

A. Determine pH value of specimen. B. Send fluid specimen to the laboratory. C. Withdraw the NGT and reinsert. D. Connect the NGT to wall suction.

Correct Answer is B

Explanation

A. Determine pH value of specimen. While pH testing can help confirm gastric placement of the NGT, the appearance of cloudy green fluid suggests a different issue that should be addressed first.
B. Send fluid specimen to the laboratory. Cloudy green fluid aspirated from the NGT suggests possible infection or contamination and should be sent to the laboratory for analysis to determine the presence of pathogens or other abnormalities.
C. Withdraw the NGT and reinsert. This may be necessary if placement is incorrect, but the cloudy green fluid suggests a potential issue beyond placement.
D. Connect the NGT to wall suction. Suctioning should not be initiated until the nature of the aspirated fluid is determined. If the fluid is infected, suctioning it could spread pathogens or cause further complications.

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The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which information is best for the nurse to offer the parents?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

While assessing placement of a nasogastric tube (NGT), the nurse aspirates cloudy green fluid into a syringe. Which intervention should the nurse implement?

Correct Answer is B

Explanation

A client with diabetes mellitus tells the nurse of using cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?

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