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Which general dietary measure should the nurse include in a teaching plan for the child with type 1 diabetes mellitus?
- A. Control intake of carbohydrates and consume fewer calories.
- B. Focus on complex carbohydrates and eat foods high in fiber.
- C. Obtain most calories from proteins and fats.
- D. Eat a diet low in fat and low in complex carbohydrates.
Correct Answer: B
Rationale: The nutritional needs of a child with diabetes mellitus focus on complex carbohydrates and high-fiber foods to help manage blood glucose levels.
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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 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.
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.
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.