When children are more physically active, which change in management of the child with diabetes should the nurse expect?

increased food intake

decreased food intake

decreased risk of insulin shock

increased risk of hyperglycemia

Answer and Explanation

The Correct Answer is A

Rationale:
A. Physical activity increases glucose utilization by muscles, which can lower blood glucose levels. To prevent hypoglycemia, children with diabetes often need additional carbohydrate intake before or after exercise.
B. Decreasing food intake during activity may worsen the risk of hypoglycemia.
C. Physical activity actually increases the risk of insulin shock (hypoglycemia) unless managed appropriately.
D. Exercise generally lowers blood glucose levels, reducing the risk of hyperglycemia, not increasing it.

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Correct Answer is C

Explanation

Rationale:
A. Hemoglobin A1c of 5.5% is within the normal range and does not indicate chronic hyperglycemia or diabetic ketoacidosis (DKA).
B. A fasting blood glucose of 124 mg/dL is elevated but not high enough to indicate DKA, which usually involves glucose levels >250 mg/dL.
C. A serum pH of 7.24 indicates metabolic acidosis, a hallmark of diabetic ketoacidosis. This acidic state results from the buildup of ketones due to insulin deficiency.
D. Potassium may initially be elevated in DKA due to acidosis, but a value of 3.9 mEq/L is within normal limits and not specific to DKA.

A. Assess for signs of overhydration. B. Assess for seizure activity. C. Assess for impaired pupillary response. D. Assess for impaired color, sensitivity, and movement of the lower extremities.

Correct Answer is D

Explanation

Rationale:
A. Overhydration is not the immediate priority after spinal fusion surgery.
B. Seizure activity is not commonly associated with spinal fusion surgery.
C. Pupillary response assessment is more relevant to neurological or head injuries, not spinal surgery.
D. Assessing color, sensitivity, and movement of the lower extremities is crucial to detect early signs of neurovascular compromise or spinal cord injury following spinal fusion. Prompt recognition can prevent permanent damage.

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When children are more physically active, which change in management of the child with diabetes should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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