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.
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Why does the nurse instruct an 11-year-old diabetic child to use the side of the finger for blood testing?
- A. It has fewer capillaries.
- B. It is easier to puncture.
- C. It is less likely to become infected.
- D. It has fewer nerve endings.
Correct Answer: D
Rationale: The sides of the finger have fewer nerve endings, making blood testing less painful.
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.
Which statement made by a 7-year-old child with type 1 diabetes mellitus indicates a need for more teaching?
- A. My pancreas is sick and needs insulin until it is well.'
- B. I will need to take my insulin every day.'
- C. I need to keep a piece of candy in my pocket in case I start to feel shaky.'
- D. My mom has to give me insulin shots twice a day.'
Correct Answer: A
Rationale: The child with type 1 diabetes mellitus has an insulin deficiency and will require lifelong management, not a temporary condition.
What occurs as a result of an inadequate secretion of insulin?
- A. Protein synthesis is increased.
- B. Increased fat breakdown leads to ketonemia.
- C. Serum glucose levels are markedly decreased.
- D. More rapid conversion and storage of carbohydrates to glucose occurs.
Correct Answer: B
Rationale: When insulin is deficient, the body cannot metabolize carbohydrates for energy, leading to increased fat breakdown and ketonemia.
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.
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