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. Participating in exercises such as jogging and running:
High-impact activities can worsen joint damage in osteoarthritis. Low-impact exercise like swimming or walking is better.
B. Maintaining a BMI between 18.5 and 24.9:
A healthy BMI reduces joint stress, especially on weight-bearing joints, which slows disease progression.
C. Propping up the head with multiple pillows at night to promote restful sleep:
This may lead to poor spinal alignment and doesn't help osteoarthritis.
D. Taking 5000 mg acetaminophen in divided doses each day:
This exceeds the recommended daily dose (maximum 4,000 mg/day) and can cause liver toxicity.
Correct Answer is A
Explanation
A. Insulin helps to lower blood glucose levels by promoting the uptake of glucose into cells:
Insulin facilitates the entry of glucose into cells for energy use or storage, thereby lowering blood glucose levels.
B. Insulin increases blood glucose levels by breaking down glycogen in the liver:
This describes the action of glucagon, not insulin.
C. Insulin promotes the breakdown of fats and proteins to increase energy production:
Insulin actually inhibits fat and protein breakdown and promotes storage of nutrients.
D. Insulin decreases the metabolic rate by inhibiting thyroid hormone production:
Insulin has no direct effect on thyroid hormone production or metabolic rate regulation.
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