What is the primary nursing concern for an 8-year-old child with Type 1 diabetes who asks his mother not to tell anyone at school that he has diabetes?

Peer group acceptance

Development of a sense of industry

The child is old enough to manage their own insulin doses and finger sticks

The child’s safety

Answer and Explanation

The Correct Answer is D

Choice A reason: While peer group acceptance is important, it is not the primary concern in this situation.
Choice B reason: Developing a sense of industry is part of Erikson's stages of psychosocial development but is not the primary nursing concern here.
Choice C reason: Whether the child can manage their own insulin and finger sticks is important, but safety is the primary concern.
Choice D reason: This is the correct choice. Ensuring the child's safety is paramount, as the school needs to be aware of the child's condition in case of a diabetes-related emergency.

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Correct Answer is D

Explanation

Choice A reason:By around 12 months, infants typically triple their birth weight, but that milestone isn't expected at 6 months. Therefore, telling the mother three times birth weight at this age would be inaccurate and misleading.
Choice B reason: While it's true that each child grows at their own pace, there are general milestones for weight gain that can guide expectations.
Choice C reason: This choice is incorrect. A 10 lb increase is not a standard milestone for weight gain at 6 months.
Choice D reason: Evidence-based pediatric growth milestones state that by 6 months, an infant’s weight typically doubles from birth weight. This aligns with widely accepted developmental guidelines and is the most accurate and reassuring response to the mother’s question.

A. Give the client six ounces of non-diet carbonated soda and instruct the client to drink it entirely. B. Document the glucose reading in the electronic medical record as the only action needed. C. Collect a blood specimen by venipuncture to send to the laboratory for serum glucose analysis. D. Prepare the prescribed dose of rapid-acting insulin from the sliding scale instructions.

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. A blood glucose level of 56 mg/dL indicates hypoglycemia, and the immediate priority is to raise the blood sugar level. Non-diet carbonated soda can provide a quick source of sugar.
Choice B reason: Documenting the reading is important but does not address the immediate need to correct the low blood sugar.
Choice C reason: While confirming the reading with a laboratory test is a good practice, it is not the first action to take when dealing with hypoglycemia.
Choice D reason: Administering insulin would be contraindicated as it would lower the blood sugar even further.

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What is the primary nursing concern for an 8-year-old child with Type 1 diabetes who asks his mother not to tell anyone at school that he has diabetes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:

Correct Answer is D

Explanation

The nurse obtains a fingerstick blood glucose level using bedside lancet/glucose meter equipment from a client with a prescribed sliding scale insulin protocol. The meter indicates 56 mg/dL (3.12 mmol/L). At this time, which intervention should the nurse implement first?

Correct Answer is A

Explanation

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