Chapter 31: The Child with a Metabolic Condition - Nurselytic

Questions 33

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Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank

Chapter 31 Questions

Question 1 of 5

What is the pattern of inheritance for most inborn errors of metabolism?

Correct Answer: A

Rationale: The pattern of inheritance for most inborn errors of metabolism, such as Tay-Sachs disease, is generally autosomal recessive.

Question 2 of 5

What occurs as a result of an inadequate secretion of insulin?

Correct Answer: B

Rationale: When insulin is deficient, the body cannot metabolize carbohydrates for energy, leading to increased fat breakdown and ketonemia.

Question 3 of 5

On what understanding does the nurse plan the care of a child with a new diagnosis of type 1 diabetes mellitus?

Correct Answer: A

Rationale: Type 1 insulin-dependent diabetes mellitus is characterized by an absolute or complete deficiency of insulin.

Question 4 of 5

A child receives a combination of regular and NPH insulin at 8:00 AM. At 8:45 AM the breakfast trays have not yet arrived from the kitchen. What is the best action by the nurse?

Correct Answer: B

Rationale: A child who receives regular insulin before meals may have an insulin reaction if food is not eaten within 20 minutes. A snack of graham crackers and milk will prevent an episode of hypoglycemia.

Question 5 of 5

Although the child with type 1 diabetes had her prescribed insulin at 7:30 AM, the child is complaining of hunger and thirst and is drowsy at 10:30 AM. What should the nurse do first?

Correct Answer: C

Rationale: The immediate remedy is to give orange juice to raise the blood glucose, addressing symptoms of hypoglycemia.

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