When developing a teaching plan for an adolescent male who was recently diagnosed with Type 1 diabetes mellitus, the nurse should instruct the client to eat a source of sugar if which symptom occurs?

Racing pulse.

Profuse perspiration.

Excessive thirst.

Seeing spots.

Answer and Explanation

The Correct Answer is B

The client should be instructed to eat a source of sugar if he experiences profuse perspiration, which may indicate hypoglycemia or low blood sugar. Other symptoms of hypoglycemia include shakiness, confusion, dizziness, and weakness.

Eating a source of sugar, such as a glucose tablet, fruit juice, or candy, can quickly raise blood sugar levels and alleviate symptoms of hypoglycemia.

A racing pulse, excessive thirst, and seeing spots are not typically associated with hypoglycemia.

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Correct Answer is C

Explanation

Infants with congenital heart defects may have difficulty with feeding due to increased eﬀort required to breathe and feed at the same time. This can lead to poor weight gain and dehydration. Thus, it is important for the nurse to report any signs of poor feeding or oral intake to the healthcare provider. While audible heart murmur (choice A)and a high heart rate (choice B)are expected findings in infants with congenital heart defects, they do not necessarily indicate a need for immediate intervention. Weight gain of 2.2 lbs. (1 kg) in the last 48 hours (choice D)may actually be a positive finding in an infant with a congenital heart defect, but it is not as important to report as poor oral intake and suckling eﬀort.

A. Flaring of the nares. B. Bilateral bronchial breath sounds. C. Diaphragmatic respirations. D. A resting respiratory rate of 35 breaths/min.

Correct Answer is A

Explanation

Flaring of the nares is a sign of increased respiratory eﬀort, which is a manifestation of acute respiratory distress. This finding occurs when the child is attempting to draw in more air to meet the increased demand for oxygen.

Bilateral bronchial breath sounds can indicate consolidation or a bronchial obstruction, but they are not specific to acute respiratory distress.

Diaphragmatic respirations are a normal finding and may occur in response to respiratory distress, but they do not necessarily indicate acute respiratory distress.

A resting respiratory rate of 35 breaths/min is within the normal range for a 1-year-old child and does not necessarily indicate acute respiratory distress.

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When developing a teaching plan for an adolescent male who was recently diagnosed with Type 1 diabetes mellitus, the nurse should instruct the client to eat a source of sugar if which symptom occurs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for an infant who was recently diagnosed with a congenital heart defect. Which assessment finding is most important for the nurse to report to the healthcare provider?

Correct Answer is C

Explanation

A 1-year-old child with respiratory syncytial virus (RSV) has been admitted to the pediatric unit. The nurse observes that the child has a fever, rhinorrhea, frequent coughing, and sneezing. Which additional finding should alert the nurse that the child is in acute respiratory distress?

Correct Answer is A

Explanation

The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inﬂamed conjunctiva. The child receives a prescription for an ophthalmic anti-infective ointment. Which instruction should the nurse provide the child's caregivers during discharge education?

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When developing a teaching plan for an adolescent male who was recently diagnosed with Type 1 diabetes mellitus, the nurse should instruct the client to eat a source of sugar if which symptom occurs?

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