Nokea
The nurse is teaching the parents of a child with diabetes insipidus about water intoxication. The nurse would tell the parents to be alert for what symptom?
- A. Polyuria
- B. Cough
- C. Weight loss
- D. Lethargy
Correct Answer: D
Rationale: Signs of water intoxication in diabetes insipidus include lethargy due to fluid overload.
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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.
Which comment made by a school-age child indicates that he needs more teaching about diabetes mellitus and exercise?
- A. I carry a piece of hard candy with me in case I start to feel shaky.'
- B. I make sure I have emergency money when I have soccer practice or a game.'
- C. Sometimes I skip my breakfast when I have a game in the morning.'
- D. I play in soccer games that are scheduled after dinner.'
Correct Answer: C
Rationale: Skipping a meal before exercise increases the risk of hypoglycemia in a child with type 1 diabetes mellitus.
What would be the most appropriate nursing response to a woman who says, 'My sister had a child with Tay-Sachs disease, and I want to know if I could have a child with this condition'?
- A. The disease is rare. It is unlikely that you would have a child with Tay-Sachs disease.'
- B. A screening test can be done to determine if you are a carrier of the gene.'
- C. The gene for Tay-Sachs disease is transmitted by the father.'
- D. The cause of Tay-Sachs disease is thought to be an autoimmune response to a virus.'
Correct Answer: B
Rationale: Carriers of Tay-Sachs disease can be identified by screening tests, given its autosomal recessive inheritance.
The nurse reminds the parents of a diabetic with an insulin pump that the tubing of the pump should be changed aseptically every hours.
Correct Answer: 48
Rationale: The tubing of the insulin pump should be changed every 48 hours to prevent infection.