Question 1

An important consideration for the school-age child taking DDAVP for diabetes insipidus would be:

Accepted Answer

A)  observing for signs of water deprivation. 
B)  restricting his physical education program. 
C)  arranging for the child to use the bathroom when needed. 
D)  limiting fluid intake other than during the lunch period. 
A)  observing for signs of water deprivation. 
B)  restricting his physical education program. 
C)  arranging for the child to use the bathroom when needed. 
D)  limiting fluid intake other than during the lunch period.

Question 2

The nurse explains that the endocrine system is primarily responsible for controlling which process(es)? Select all that apply.

Accepted Answer

A)  Maturation 
B)  Reproduction 
C)  Stress response 
D)  Sexual identity 
E)  Growth 
A)  Maturation 
B)  Reproduction 
C)  Stress response 
D)  Sexual identity 
E)  Growth

Question 3

The comment made by a school-age child indicating that he needs more teaching about diabetes mellitus and exercise is:

Accepted Answer

A)  "I carry a piece of hard candy with me in case I start to feel shaky." 
B)  "I make sure I have emergency money when I have soccer practice or a game." 
C)  "Sometimes I skip my breakfast when I have a game in the morning." 
D)  "I play in soccer games that are scheduled after dinner." 
A)  "I carry a piece of hard candy with me in case I start to feel shaky." 
B)  "I make sure I have emergency money when I have soccer practice or a game." 
C)  "Sometimes I skip my breakfast when I have a game in the morning." 
D)  "I play in soccer games that are scheduled after dinner."

Question 4

The nurse discussed treatment of hypoglycemia with an adolescent. The nurse determined the adolescent understood the instructions when she verbalized that if her blood glucose is low or if she begins to feel hungry and weak, she will:

Accepted Answer

A)  eat six LifeSavers. 
B)  give herself Lispro insulin. 
C)  have a slice of cheese. 
D)  drink a diet soda. 
A)  eat six LifeSavers. 
B)  give herself Lispro insulin. 
C)  have a slice of cheese. 
D)  drink a diet soda.

Question 5

The nurse explains that because of an inadequate secretion of insulin:

Accepted Answer

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. 
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.

Question 6

The parents of a child newly diagnosed with diabetes mellitus tell the nurse, "Our son's body is resistant to insulin." The nurse recognizes this description as consistent with:

Accepted Answer

A)  type 1, insulin-dependent diabetes mellitus. 
B)  type 2, non-insulin-dependent diabetes mellitus. 
C)  maturity-onset diabetes of youth. 
D)  drug-induced diabetes. 
A)  type 1, insulin-dependent diabetes mellitus. 
B)  type 2, non-insulin-dependent diabetes mellitus. 
C)  maturity-onset diabetes of youth. 
D)  drug-induced diabetes.

Question 7

The statement made by a 7-year-old child with type 1 diabetes mellitus that indicates a need for more teaching is:

Accepted Answer

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." 
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."

Question 8

The nurse assessing a glycosylated hemoglobin (HbA?c) test is aware that this test can evaluate average glucose levels over a period of _____ to _____ months.

Accepted Answer

3; 4
Glucose attaches to the r

Question 9

Which food sources are high in soluble fiber? Select all that apply.

Accepted Answer

A)  Raw fruits 
B)  Cooked vegetables 
C)  Beans 
D)  Lean meat 
E)  Bran cereal 
A)  Raw fruits 
B)  Cooked vegetables 
C)  Beans 
D)  Lean meat 
E)  Bran cereal

Question 10

The nurse instructs the 11-year-old diabetic child to use the side of the finger for blood testing because the side of the finger:

Accepted Answer

A)  has fewer capillaries. 
B)  is easier to puncture. 
C)  is less likely to become infected. 
D)  has fewer nerve endings. 
A)  has fewer capillaries. 
B)  is easier to puncture. 
C)  is less likely to become infected. 
D)  has fewer nerve endings.

Exam 31: The Child with a Metabolic Condition

An important consideration for the school-age child taking DDAVP for diabetes insipidus would be:

The nurse explains that the endocrine system is primarily responsible for controlling which process(es)? Select all that apply.

The comment made by a school-age child indicating that he needs more teaching about diabetes mellitus and exercise is:

The nurse discussed treatment of hypoglycemia with an adolescent. The nurse determined the adolescent understood the instructions when she verbalized that if her blood glucose is low or if she begins to feel hungry and weak, she will:

The nurse explains that because of an inadequate secretion of insulin:

The parents of a child newly diagnosed with diabetes mellitus tell the nurse, "Our son's body is resistant to insulin." The nurse recognizes this description as consistent with:

The statement made by a 7-year-old child with type 1 diabetes mellitus that indicates a need for more teaching is:

The nurse assessing a glycosylated hemoglobin (HbA?c) test is aware that this test can evaluate average glucose levels over a period of _____ to _____ months.

Which food sources are high in soluble fiber? Select all that apply.

The nurse instructs the 11-year-old diabetic child to use the side of the finger for blood testing because the side of the finger:

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Musculoskeletal Condition

The Child with a Respiratory Disorder

The Child with a Cardiovascular Disorder

The Child with a Condition of the Blood, Blood-Forming Organs, or

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Communicable Disease

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

Filters

The nurse assessing a glycosylated hemoglobin (HbA?c) test is aware that this test can evaluate average glucose levels over a period of _ to _ months.