Nokea
The nurse assessing a glycosylated hemoglobin (HbA1c) test is aware that this test can evaluate average glucose levels over a period of to months.
Correct Answer: 3 to 4
Rationale: The HbA1c test evaluates average glucose levels over 3 to 4 months.
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What is the pattern of inheritance for most inborn errors of metabolism?
- A. Autosomal recessive
- B. Autosomal dominant
- C. X-linked recessive
- D. Multifactorial
Correct Answer: A
Rationale: The pattern of inheritance for most inborn errors of metabolism, such as Tay-Sachs disease, is generally autosomal recessive.
What is an important consideration for the school-age child taking DDAVP for diabetes insipidus?
- A. Observe for signs of water deprivation.
- B. Restrict his physical education program.
- C. Arrange for the child to use the bathroom when needed.
- D. Limit fluid intake other than during the lunch period.
Correct Answer: C
Rationale: The child with diabetes insipidus needs liberal access to bathrooms due to frequent urination.
What condition does the nurse suspect when a child with type 1 diabetes mellitus has hyperglycemia, diaphoresis, and headaches in the morning?
- A. Dawn phenomenon
- B. Somogyi phenomenon
- C. Honeymoon effect
- D. Ketoacidosis
Correct Answer: B
Rationale: The Somogyi phenomenon involves rebound hyperglycemia due to low blood glucose triggering counter-regulatory hormones.
What does the nurse remind the adolescent with diabetes that soluble fiber in the diet can reduce? (Select all that apply.)
- A. Blood glucose
- B. Serum cholesterol
- C. Incidence of infections
- D. Absorption of sugar
- E. Insulin requirements
Correct Answer: A,B,D,E
Rationale: Soluble fiber can reduce blood glucose, serum cholesterol, sugar absorption, and insulin requirements.
When discussing possible causes of diabetes in children, the nurse mentions chromosomal defects. Which chromosomes are associated with diabetes? (Select all that apply.)
- A. 6
- B. 7
- C. 12
- D. 20
- E. 21
Correct Answer: A,B,C,D
Rationale: Defects in chromosomes 6, 7, 12, and 20 are associated with diabetes mellitus syndrome.