A 12-year-old has been selected to be a cheerleader for her middle school. This child has been recently diagnosed with type 1 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. Decreased food intake.
2. Increased doses of insulin.
3. Increased food intake.
4. Decreased doses of insulin.
3
Rationale 1: Decreased food intake would increase the chance of hypoglycemia.
Rationale 2: 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.
Rationale 3: An increase in physical activity requires an increase in caloric intake to prevent hypoglycemia.
Rationale 4: A decreased dose of insulin would not allow the sugar to enter the cells where it is needed during exercise.
Global
You might also like to view...
A nurse is providing care for a patient whose pattern of laboratory testing reveals longstanding hypocalcemia. What other laboratory result is most consistent with this finding?
A) An elevated parathyroid hormone level B) An increased calcitonin level C) An elevated potassium level D) A decreased vitamin D level
The nurse is caring for a school-age client who will be discharged from the hospital after receiving a ventriculoperitoneal (VP) shunt as treatment for increased intracranial pressure (IICP)
The nurse has taught the parents to monitor the child for shunt malfunction. Which statement by the parents regarding when to notify the healthcare provider indicates that learning goals have been met? A) "If our child has a bulging soft spot, we will call the doctor." B) "If our child develops an altered level of consciousness, we will notify the doctor." C) "If we notice our child's head is expanding, we will notify the doctor." D) "If our child develops sunset eyes, it will be important to call the doctor."
The client is taking an oxycodone-acetaminophen combination (Tylox) at home daily for chronic pain management. What instruction does the nurse give this client?
a. "Avoid taking aspirin while you are on this medication." b. "Drink plenty of water and eat foods high in fiber." c. "Stop this medication after 3 days if the pain persists." d. "Weigh yourself daily to determine whether you are retaining sodium or wa-ter."
The nurse is working hard to prevent medication errors. Which plans will assist the nurse in preventing most errors?
1. Plan to validate all orders with another nurse prior to administration of medications. 2. Plan to assess for patient variables such as age, weight, and diagnostic lab studies prior to administration. 3. Plan to tell health care providers that verbal orders will not be accepted. 4. Plan to always check the client's identification band prior to administration of medications. 5. Plan to record the medication on the medication administration record (MAR) immediately prior to administration.