Which comment by a 12-year-old child with type 1 diabetes indicates deficient knowledge?
"I'll be glad when I can take a pill for my diabetes like my uncle does."
"I rotate my insulin injection sites every time I give myself an injection."
"I keep Lifesavers in my school bag in case I have a low-sugar reaction."
"I keep records of my glucose levels and insulin sites and amounts."
The Correct Answer is A
A. Type 1 diabetes is characterized by an autoimmune destruction of pancreatic beta cells, resulting in little to no endogenous insulin production. Management requires lifelong insulin therapy, usually via injections or an insulin pump. The child’s statement reflects a misunderstanding of the disease and its treatment, as oral hypoglycemic medications, like those used in type 2 diabetes, are ineffective for type 1 diabetes.
B. Rotating insulin injection sites is correct practice, preventing lipodystrophy, tissue hardening, and inconsistent insulin absorption, and demonstrates proper understanding.
C. Keeping fast-acting glucose sources, such as Lifesavers, accessible addresses hypoglycemia, a common complication of insulin therapy, and shows appropriate self-management knowledge.
D. Maintaining detailed records of glucose readings, insulin doses, and injection sites helps monitor trends, adjust therapy safely, and prevent complications, reflecting good self-care practices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A.This is correct because cleansing the abdomen reduces the risk of infection at the puncture site and is standard pre-procedure preparation for amniocentesis.
B. This is incorrect at 23 weeks gestation because a partially full bladder is preferred. A partially full bladder helps elevate the uterus, providing better access for the needle and reducing the risk of injury to the fetus.
C. This is incorrect because fasting is not necessary for amniocentesis. Clients may eat and drink normally unless sedation or other procedures requiring anesthesia are planned. Restricting food and fluids is unnecessary and could cause discomfort.
D. This is incorrect because bowel preparation is not required. The procedure involves the uterus and amniotic sac, not the gastrointestinal tract, so a bowel prep would not affect safety or outcomes.
Correct Answer is C
Explanation
A. Arterial blood gas analysis evaluates oxygenation, ventilation, and acid-base balance, but it does not indicate infection or inflammation.
B. Gastric lavage is used to remove ingested substances from the stomach, not to detect infection or inflammatory processes.
C. Erythrocyte sedimentation rate (ESR) is a nonspecific test that measures the rate at which red blood cells settle in a tube over a specific time. An elevated ESR can indicate the presence of inflammation or infection in the body.
D. Blood cultures are used to identify the specific pathogen causing an infection but do not measure the general presence of an inflammatory process.
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