Peds Exam 4

A nurse is caring for a client who has type 1 diabetes mellitus and recently experienced significant weight loss. The client states, "I have been skipping my insulin to help lose weight." The nurse should identify that this is an indication of which of the following conditions? A. Bulimia nervosa B. Diabulimia C. Avoidant restrictive food intake disorder (ARFID) D. Anorexia nervosa

B. Diabulimia

A nurse is teaching a client who has type 1 diabetes mellitus about exercise. Which of the following instructionsshould the nurse include?A. Perform vigorous exercise when blood glucose is less than 100 mg/dL. B. Do not exercise if ketones are present in your urine. C. Avoid eating for 2 hr before exercise. D. Examine your feet weekly

B. Do not exercise if ketones are present in your urine.

A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take? A. Assess for hypoglycemia 4 hr after the insulin injection. B. Inject the insulin 15 min before a meal. C. Monitor for polyuria. D. Administer with short-acting insulin

B. Inject the insulin 15 min before a meal.

A nurse is planning care for a client who has leukemia and a platelet count of 130,000/mm3. Which of the following interventions should the nurse include in the plan of care? A. Check the IV site for bleeding every 8 hr. B. Limit IM injections. C. Obtain a rectal temperature every 8 hr. D. Check the client for proteinuria.

B. Limit IM injections.

A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching? A. Administer glucagon for hyperglycemia. B. Obtain an influenza vaccine annually. C. Inject insulin in the deltoid muscle. D. Take glyburide with breakfast

B. Obtain an influenza vaccine annually.

A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory values should the nurse expect? (Select all that apply.) A. Decreased platelet count B. Increased hemoglobin count C. Decreased leukocyte count D. Increased platelet count E. Decreased erythrocyte count

A. Decreased platelet count C. Decreased leukocyte count E. Decreased erythrocyte count

A nurse is assessing a client who has type 1 diabetes mellitus and finds the client lying in bed, sweating, and reporting feeling anxious. Which of the following complications should the nurse suspect? A. Hypoglycemia B. Nephropathy C. Hyperglycemia D. Ketoacidosis

A. Hypoglycemia

A nurse is teaching a class about sleep. The nurse should include that which of the following hormones regulates the sleep-wake cycle? A. Melatonin B. Cortisol C. Insulin D. Progesterone

A. Melatonin

A nurse is preparing to administer insulin to a client who has type 1 diabetes mellitus. Which of the following types of prevention is the nurse demonstrating? A. Tertiary B. Primary C. Secondary D. Quaternary

A. Tertiary

A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate? A. Neutropenic B. Bleeding C. Contact D. Droplet

B. Bleeding

A nurse is reviewing guidelines to prevent DKA during periods of illness with a client who has type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching? A. "Test your blood glucose level every 8 hours." B. "Check your urine for ketones when blood glucose levels are greater than 240 mg/dL." C. "Withhold your usual daily dose of insulin." D. "Drink 240 to 360 milliliters of calorie-free liquids every 8 hours.

B. "Check your urine for ketones when blood glucose levels are greater than 240 mg/dL."

A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching? A. "My morning blood glucose should be between 90 and 130." B. "I should eat a snack half an hour before playing soccer." C. "I should not take my regular insulin when I am sick." D. "I can store unopened bottles of insulin in the freezer."

B. "I should eat a snack half an hour before playing soccer."

A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching? A. "I will feed my baby on a schedule every 4 hours." B. "I will add Polycose to each of my baby's bottles." C. "I will allow my baby to take as much time as needed to finish the bottle." D. "I will limit my babies crying to 15 minutes prior to each feeding."Created on:11/27/2023 Page 6

B. "I will add Polycose to each of my baby's bottles."

A nurse is teaching about self-monitoring to a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? A. "I will check my urine once a day for ketones." B. "I will notify my provider if pre-meal glucose is 120 mg/dL." C. "I will check my blood glucose every 4 hours when I am sick." D. "I will check blood glucose every 5 minutes when lightheaded."

C. "I will check my blood glucose every 4 hours when I am sick."

A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching? A. "I'll wear sandals in warm weather." B. "I'll put lotion between my toes after drying my feet." C. "I'll check my feet every day for sores and bruises." D. "I'll soak my feet in cool water every night before I go to bed."

C. "I'll check my feet every day for sores and bruises."

A nurse is teaching a client who has a new diagnosis of Type 1 diabetes mellitus about self-administration ofinsulin. Which of the following instructions should the nurse include?A. "Pull back on the plunger after injecting the insulin." B. "Massage the injection site after removing the needle." C. "Store the current bottle of insulin at room temperature." D. "Use each syringe up to six times."

C. "Store the current bottle of insulin at room temperature."

A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include? A. "Withhold insulin dose if feeling nauseous." B. "Notify the provider if blood glucose levels are over 350 milligrams/deciliter." C. "Test the urine for ketones." D. "Limit fluid intake during meal time."

C. "Test the urine for ketones."

A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. To focus on effective learning with this client, which of the following interventions should the nurse use? A. Ask the client to perform a return demonstration of insulin injection. B. Review the action of insulin therapy. C. Explore the client's feelings about dietary modifications. D. Have the client practice blood-glucose monitoring using a glucometer

C. Explore the client's feelings about dietary modifications.

A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following recommendations should the nurse make to the client for a sweetener? A. Corn syrup B. Natural honey C. Nonnutritive sugar substitute D. Guava nectar

C. Nonnutritive sugar substitute

A nurse is caring for a client who has uncontrolled type 1 diabetes mellitus. Which of the following findings should the nurse expect? A. Hypertension B. Hematuria C. Weight loss D. Bradycardia

C. Weight loss

A nurse is teaching about disease management for a client who has type 1 diabetes mellitus. Which statement made by the client indicates an understanding of the teaching? A. "I am to take my blood sugar reading after meals." B. "Insulin allows me to eat ice cream at bedtime." C. "A weight reduction program will make me hypoglycemic." D. "I give the insulin injections in my abdominal area."

D. "I give the insulin injections in my abdominal area."

A nurse is caring for a 7-year-old child who has an upper respiratory infection and type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction? A. "I will encourage her to drink half a cup of water or sugar-free fluids every 30 minutes." B. "I will report a change in her breathing or any signs of confusion." C. "I will notify the doctor if her temperature is not controlled with acetaminophen." D. "I will continue to check his blood sugar two times every day.

D. "I will continue to check his blood sugar two times every day.

A nurse is talking with a client whose thyroid-stimulating hormone (TSH) level will be measured. Which of the following statements by the nurse explains the purpose of this test? A. "This test measures the amount of thyroid hormone that attaches to a protein in your blood." B. "This test detects antithyroid antibodies in your blood." C. "This test measures the absorption of iodine and how it relates to the thyroid gland." D. "This test determines whether your thyroid gland is overactive, appropriately active, or underactive."

D. "This test determines whether your thyroid gland is overactive, appropriately active, or underactive."