FCN final

The nurse is interviewing the caregivers of a child admitted with a diagnosis of type 1 diabetes mellitus. The caregiver states, "The teacher tells us that our child has to use the restroom many more times a day than other students do." The caregiver's statement indicates the child most likely has: a) Polyuria b) Polydipsia c) Polyphagia d) Pica

A

A child who has type 1 diabetes mellitus is brought to the emergency department and diagnosed with diabetic ketoacidosis. What treatment would the nurse expect to administer? a) Regular insulin b) Detemir c) Lispro d) NPH

a

A nurse is teaching a child with type 1 diabetes mellitus how to self-inject insulin. Which method should she recommend to the child for regular doses? a) Subcutaneously in the outer thigh b) Intradermally in the outer arm c) Intramuscularly in the abdomen d) Intravenously in the chest

a

A pregnant woman diagnosed with diabetes should be instructed to do which of the following? a) Notify the physician if unable to eat because of nausea and vomiting. b) Ingest a smaller amount of food prior to sleep to prevent nocturnal hyperglycemia. c) Discontinue insulin injections until 15 weeks gestation. d) Prepare foods with increased carbohydrates to provide needed calories.

a

You encourage a woman with gestational diabetes to maintain an active exercise period during pregnancy. Prior to this exercise period, you would advise her to do which of the following? a) Eat a sustaining-carbohydrate snack b) Inject a bolus of insulin c) Eat a high-carbohydrate snack d) Add a bolus of long-acting insulin

a

Insulin deficiency, increased levels of counter regulatory hormones, and dehydration are the primary causes of: a) ketonuria. b) diabetic ketoacidosis. c) glucosuria. d) ketone bodies.

b

The nurse would be alert for possible placental abruption during labor when assessment reveals which of the following? A) Macrosomia B) Gestational hypertension C) Gestational diabetes D) Low parity

b

A 10-year-old boy has been diagnosed with type 1 diabetes mellitus. He is curious about what the cause of his disease is and asks the nurse to explain it to him. What should the nurse say to the boy? a) "Your body does not produce enough a chemical called 'ADH,' which makes you really thirsty and have to go to the bathroom a lot." b) "A small part of your brain called the pituitary does not make enough of a chemical called growth hormone." c) "Special cells in a part of your body called the pancreas can't make a chemical called insulin, which helps control the sugar level in your blood." d) "Special cells in a part of your body called the pancreas cannot produce enough of a chemical called insulin, so there is too much sugar in your blood."

c

The nurse is caring for a child with diabetes mellitus type 1. The nurse notes that the child is drowsy, has flushed cheeks and red lips, a fruity smell to the breath, and there has been an increase in the rate and depth of the child's respirations. The nurse recognizes that these symptoms indicate the child has: a) polyphagia. b) Cheyne-Stokes respirations. c) diabetic ketoacidosis. d) insulin reaction.

c

The nurse would be alert for which of the following immediately after a woman with abruptio placentae gives birth? A) Severe uterine pain B) Board-like abdomen C) Appearance of petechiae D) Inversion of the uterus

c

A pregnant woman is determined to be at high risk for gestational diabetes. At which time would the nurse expect the client to undergo rescreening? a) 28 to 32 weeks b) 20 to 24 weeks c) 16 to 20 weeks d) 24 to 28 weeks

d

A woman who is 2 weeks postpartum calls the clinic and says, "My left breast hurts." After further assessment on the phone, the nurse suspects the woman has mastitis. In addition to pain, the nurse would assess for which of the following? A) An inverted nipple on the affected breast B) No breast milk in the affected breast C) An ecchymotic area on the affected breast D) Hardening of an area in the affected breast

d

The nurse is teaching a 12-year-old girl with diabetes mellitus type 2 and her parents about dietary measures to control her glucose levels. Which comment by the child indicates a need for additional teaching? a) "We should give her nonfat milk to drink." b) "I will be eating more breads and cereals." c) "I can have an apple or orange for snacks." d) "I can eat two small cookies with each meal."

d

The nurse working with the child diagnosed with type 2 diabetes mellitus recognizes that most often the disorder can be managed by: a) Conserving energy with rest periods during the day b) Increasing protein in the diet, especially in the evening c) Decreasing amounts of daily insulin d) Taking oral hypoglycemic agents

d

Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation? A. Coarctation of the aorta B. Atrial septal defect C. Patent ductus arteriosus D. Tetralogy of Fallot

d