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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.
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What statement by a parent leads the nurse to determine a parent is administering levothyroxine (Synthroid) correctly?
- A. I stopped giving the medication because my daughter was losing her hair.'
- B. I am using a different brand now because it costs less money.'
- C. I don't give the medication on the weekends.'
- D. I give the medication at 8:00 AM every day.'
Correct Answer: D
Rationale: Synthroid should be given at the same time each day, preferably in the morning, for consistent therapeutic effect.
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.
What makes keeping diabetes in control in an adolescent difficult? (Select all that apply.)
- A. Hormonal changes
- B. Developmental conflicts
- C. Preference for fast food
- D. Growth spurts
- E. Knowledge of disease
Correct Answer: A,B,C,D
Rationale: Hormonal changes, developmental conflicts, fast food preferences, and growth spurts complicate diabetes management in adolescents.
The nurse explains that the diagnosis of diabetes is made when the fasting blood glucose level is mg/dL on two separate occasions, and the history is positive for indication of the disease.
Correct Answer: 126
Rationale: A fasting blood glucose level of 126 mg/dL on two separate occasions, with a positive history, confirms diabetes.
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.