A 12-year-old has been selected to be a cheerleader for her middle school. This child has been recently diagnosed with type I diabetes

In teaching this child's mother about care for her child, the nurse wants the mother to understand that with increased physical activity, the child will need: 1. Increased food intake.
2. Decreased food intake.
3. Increased doses of insulin.
4. Decreased doses of insulin.


1
Rationale:
1. An increase in physical activity requires an increase in caloric intake to prevent hypoglycemia.
2. Decreased food intake would increase the chance of hypoglycemia.
3. Increased dose of insulin would cause hypoglycemia. Exercise causes insulin to be used more efficiently by the body, so an increase in insulin would not be needed.
4. A decreased dose of insulin would not allow the sugar to enter the cells where it is needed during exercise.

Nursing

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Over the past 2 decades, there has been a trend toward:

a. increased osteoporosis. b. preservation of height. c. obesity in older adults. d. preservation of muscle mass.

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The nurse would be most alert for assessment findings of osteomyelitis in which patients? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. The patient with a compound fracture 2. A patient who required open reduction of a fractured ankle 3. A patient who has a spiral fracture 4. A patient whose fractured radius was repaired with an external fixator device 5. A patient who has a torn anterior cruciate ligament

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The nurse knows that a subcutaneous injection takes longer to absorb because

a. Fewer blood vessels are found under the subcutaneous level. b. Adipose tissue takes longer to metabolize medication. c. Connective tissue holds medication in place longer. d. Some medication leaks out after instillation.

Nursing

The nurse is teaching an in-service educational presentation about working with battered women

The nurse should explain that it is often frustrating for nurses to work with battered women for which reasons? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. There is little the nurse can really do to help. 2. Healthcare policies and practices are not supportive of abused women. 3. Both husband and wife must agree to therapy. 4. These women might return to the abusive situation. 5. Women often believe that they are the cause of the abuse.

Nursing