Nokea
The nurse discussed treatment of hypoglycemia with an adolescent. Which statement by the adolescent leads the nurse to determine the patient understood the instructions?
- A. When my blood glucose is low or if I begin to feel hungry and weak, I will eat six LifeSavers.'
- B. When my blood glucose is low or if I begin to feel hungry and weak, I will give myself Lispro insulin.'
- C. When my blood glucose is low or if I begin to feel hungry and weak, I will have a slice of cheese.'
- D. When my blood glucose is low or if I begin to feel hungry and weak, I will drink a diet soda.'
Correct Answer: A
Rationale: The immediate treatment of hypoglycemia involves consuming a quick source of sugar, such as hard candy like LifeSavers.
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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.
A mother reports that her 4-month-old infant is lethargic, sleeps 18 hours a day, and snores. The nurse recognizes these signs are characteristic of what?
- A. Hypothyroidism
- B. Hyperthyroidism
- C. Type 1 diabetes mellitus
- D. Tay-Sachs disease
Correct Answer: A
Rationale: The infant with hypothyroidism appears sluggish with an enlarged tongue, causing noisy respiration.
Which process(es) does the nurse explain the endocrine system is primarily responsible for controlling? (Select all that apply.)
- A. Maturation
- B. Reproduction
- C. Stress response
- D. Sexual identity
- E. Growth
Correct Answer: A,B,C,E
Rationale: The endocrine system governs maturation, reproduction, stress response, and growth, but not sexual identity.
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.
Although the child with type 1 diabetes had her prescribed insulin at 7:30 AM, the child is complaining of hunger and thirst and is drowsy at 10:30 AM. What should the nurse do first?
- A. Walk the patient in the hall for 10 minutes.
- B. Allow the patient a short nap.
- C. Give her a cup of orange juice.
- D. Test her blood with a glucometer and give insulin according to the sliding scale.
Correct Answer: C
Rationale: The immediate remedy is to give orange juice to raise the blood glucose, addressing symptoms of hypoglycemia.