Nokea
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.
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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.
A child with diabetes mellitus is observed to have cold symptoms. What signs and symptoms will alert parents of the possibility of ketoacidosis? (Select all that apply.)
- A. Chest congestion
- B. Ear pain
- C. Fruity breath
- D. Hyperactivity
- E. Nausea
Correct Answer: C,E
Rationale: Fruity breath and nausea are key indicators of ketoacidosis in a diabetic child.
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.
The nurse is teaching the parents of a child with diabetes insipidus about water intoxication. The nurse would tell the parents to be alert for what symptom?
- A. Polyuria
- B. Cough
- C. Weight loss
- D. Lethargy
Correct Answer: D
Rationale: Signs of water intoxication in diabetes insipidus include lethargy due to fluid overload.
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.