The practical nurse (PN) is obtaining the admission history from the parents of a school-aged client recently diagnosed with type 1 diabetes mellitus (DM). Which symptom will the parents most likely report?

Drinks more liquids than previously.

Gained 10 pounds within one month.

Voids only one or two times per day.

Refuses to eat favorite meals at home.

Answer and Explanation

The Correct Answer is A

A. Drinks more liquids than previously: Polydipsia is a classic symptom due to osmotic diuresis from hyperglycemia.
B. Gained 10 pounds within one month: Unlikely; children with type 1 DM often lose weight before diagnosis.
C. Voids only one or two times per day: Inaccurate; polyuria is common.
D. Refuses to eat favorite meals at home: Not a hallmark sign of type 1 DM.

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Correct Answer is C

Explanation

A. A frail older adult who needs help to ambulate to the dining room for a meal:
This is important but not as urgent as toileting after a diuretic.

B. An older adult with a colostomy who needs the bag emptied:
This is routine and can wait a short time.

C. An older adult who received a diuretic 30 minutes ago and is asking for a bedpan:
Urgent to prevent incontinence and skin breakdown; needs immediate attention.

D. An older adult who needs mouth care for a dry mouth:
This is comfort care and can be delayed safely.

A. Discard the first urine specimen and collect the second voiding. B. Place the urine collection cup in the stream of urine while voiding. C. Collect the urine specimen immediately upon awakening in the morning. D. Void into the bedpan but place toilet tissue in the trash container.

Correct Answer is B

Explanation

A. Discard the first urine specimen and collect the second voiding:
Clean catch is from a single void after midstream cleaning, not a separate voiding.

B. Place the urine collection cup in the stream of urine while voiding:
Midstream catch avoids contamination from urethral opening.

C. Collect the urine specimen immediately upon awakening in the morning:
Morning urine may be concentrated but is not required for culture.

D. Void into the bedpan but place toilet tissue in the trash container:
This contaminates the specimen; bedpans not used for clean catch.

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The practical nurse (PN) is obtaining the admission history from the parents of a school-aged client recently diagnosed with type 1 diabetes mellitus (DM). Which symptom will the parents most likely report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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