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 ["2"]
Explanation
Step 1: Convert the ordered dose to mg
0.2 g × 1000 = 200 mg
Step 2: Determine the number of capsules
Number of capsules = Desired dose ÷ Strength per capsule
Number of capsules = 200 ÷ 100 = 2
Final Answer: 2 capsules
Correct Answer is C
Explanation
A. Nervousness occurs due to terbutaline’s stimulation of beta-adrenergic receptors, which can increase sympathetic activity. This is generally mild and expected, requiring only reassurance and monitoring.
B. Tremors are a common side effect from beta-2 adrenergic stimulation of skeletal muscles. They are usually transient and non-dangerous, not requiring immediate intervention.
C. Dyspnea may indicate pulmonary edema, a potentially life-threatening complication associated with terbutaline therapy, especially if used for prolonged periods or in clients with cardiac or renal compromise. Prompt recognition and immediate reporting to the provider is essential to prevent serious maternal and fetal complications.
D. Headaches may occur due to vasodilation and increased cardiac output, but they are typically mild and self-limiting, not a sign of severe adverse effect.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.