Which of the following would be the highest priority hypothesis for a prediabetic condition in childhood?
The child's diet is high in processed sugars and carbohydrates.
The child's family has a history of type 2 diabetes.
The child does not engage in regular physical activity.
The child experiences frequent episodes of excessive thirst and urination.
The Correct Answer is D
A. The child's diet is high in processed sugars and carbohydrates:
Diet is a significant modifiable risk factor, but not diagnostic on its own. It contributes to prediabetes, but not the most immediate clinical concern.
B. The child's family has a history of type 2 diabetes:
Important non-modifiable risk factor, but alone does not confirm progression toward prediabetes.
C. The child does not engage in regular physical activity:
Another modifiable risk factor but not as urgent as actual symptoms indicating hyperglycemia.
D. The child experiences frequent episodes of excessive thirst and urination:
These are classic signs of hyperglycemia (polydipsia, polyuria), suggesting early glucose intolerance and the need for immediate evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Are you worried that it will affect your relationship with your partner?":
This narrows the client’s concern too early and may overlook broader worries like body image or career.
B. "Tell me how you think having the ileostomy will affect you.":
Therapeutic communication-open-ended, nonjudgmental, and encourages expression of feelings and concerns.
C. "This will cure your disease so you don't spend so much time in the hospital.":
False reassurance. Surgery may manage the disease but may not be perceived as a “cure” by the client.
D. "Everybody worries about how they will manage their ileostomy at first.":
Generalizes and dismisses the client’s unique feelings.
Correct Answer is B
Explanation
A. "You have many dangerously low blood sugar levels.":
A1C reflects chronic hyperglycemia, not hypoglycemia.
B. "Your average blood sugar is high.":
An A1C of 9% corresponds to an average glucose of ~212 mg/dL, which is above the recommended goal (usually <7% for diabetics).
C. "Your blood sugar is very unstable.":
A1C reflects average glucose over 2–3 months, not variability.
D. "Your blood sugar is too high after meals.”:
A1C measures overall average glucose, not postprandial levels specifically.
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