Nokea
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.
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Which food sources are high in soluble fiber? (Select all that apply.)
- A. Raw fruits
- B. Cooked vegetables
- C. Beans
- D. Lean meat
- E. Bran cereal
Correct Answer: A,C,E
Rationale: Foods high in soluble fiber include raw fruits, beans, and bran cereal, which help manage blood glucose.
What is the function of an insulin pump?
- A. Releases insulin as blood glucose rises.
- B. Provides continuous infusion of insulin.
- C. Decreases need for painful glucose monitoring.
- D. Delivers a prescribed amount of insulin twice a day.
Correct Answer: B
Rationale: The insulin pump provides a continuous infusion of insulin via a subcutaneous tube.
The parents of a child newly diagnosed with diabetes mellitus tell the nurse, 'Our son's body is resistant to insulin.' With what does the nurse recognize this description is consistent?
- A. Type 1, insulin-dependent diabetes mellitus
- B. Type 2, non-insulin-dependent diabetes mellitus
- C. Maturity-onset diabetes of youth
- D. Drug-induced diabetes
Correct Answer: B
Rationale: Type 2 diabetes mellitus is characterized by insulin resistance, unlike type 1 which involves insulin deficiency.
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.
The nurse is discussing insulin shock with parents of a child recently diagnosed with diabetes mellitus. What will the nurse respond when the parents ask why children are more prone to insulin reactions? (Select all that apply.)
- A. The condition is more unstable in children.'
- B. Parents are often noncompliant.'
- C. The activities are irregular.'
- D. They are still growing.'
- E. Sleep patterns are not established.'
Correct Answer: A,C,D
Rationale: Children are more prone to insulin reactions due to unstable condition, irregular activities, and growth.