Nokea
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.
You may also like to solve these questions
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.
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.
A child with diabetes is brought to the emergency department. He is flushed and drowsy, and his skin is dry. His father states that the child has been feeling progressively worse since the morning. What is this child most likely experiencing?
- A. Somogyi phenomenon
- B. Dawn syndrome
- C. Ketoacidosis
- D. Water intoxication
Correct Answer: C
Rationale: In ketoacidosis, the child's skin is dry, the face is flushed, and the breath has a fruity odor, indicating a serious complication of diabetes.
The nurse is preparing to administer a long-acting insulin. Which insulin is considered long acting?
- A. Lispro
- B. Aspart
- C. Glargine
- D. Regular
Correct Answer: C
Rationale: Insulin glargine is a long-acting insulin, unlike Lispro, Aspart, and Regular which are rapid or short-acting.
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.