A 14-year-old client with type 1 diabetes is participating in a school sports event. The nurse provides education to the client about managing blood glucose levels during physical activity. Which statement by the client indicates a need for further teaching?- Nurselytic

Question 1 of 5

A 14-year-old client with type 1 diabetes is participating in a school sports event. The nurse provides education to the client about managing blood glucose levels during physical activity. Which statement by the client indicates a need for further teaching?

A. I should check my blood sugar before and after exercise B. I need to eat a snack before I start playing C. If my blood sugar is high, I should skip my insulin dose before exercise D. I should carry a fast-acting carbohydrate with me during sports

Correct Answer: C

Rationale: The correct answer is C. Skipping insulin dose when blood sugar is high before exercise can be harmful. It is essential to manage blood glucose levels carefully during physical activity, which may require adjustments to insulin doses but skipping doses is not recommended. It is crucial to maintain blood sugar levels within the target range to prevent complications during exercise.

Question 2 of 5

The infant scheduled for reduction of intussusception passes a soft-formed brown stool the day before the procedure. What intervention should the nurse implement?

A. Instruct the parents that the infant needs to be NPO. B. Notify the healthcare provider of the passage of brown stool. C. Obtain a stool specimen for laboratory analysis. D. Ask the parents about recent changes in the infant's diet.

Correct Answer: B

Rationale: Notifying the healthcare provider is crucial when an infant scheduled for intussusception reduction passes a soft-formed brown stool as it may indicate spontaneous reduction of the intussusception. The healthcare provider needs to be informed to assess if the procedure is still necessary or if further evaluation is required.

Question 3 of 5

The nurse provides information about the human papillomavirus (HPV) vaccine to the mother of a 14-year-old adolescent who came to the clinic this morning complaining of menstrual cramping. Which explanation should the nurse provide to support administering the HPV vaccine to the adolescent at this visit?

A. Use of protective barriers during sexual activity prevents most strains of HPV infection B. Most adolescents are not honest about being sexually active C. Not all strains of HPV will be covered if given at a later date D. Immunity must be established to prevent future HPV infection and the risk for cervical cancer

Correct Answer: D

Rationale: Administering the HPV vaccine helps establish immunity before potential exposure to the virus, reducing the risk of HPV infection and subsequent development of cervical cancer. It is recommended to vaccinate adolescents before they become sexually active for maximum effectiveness.

Question 4 of 5

What action should be taken by the healthcare provider for a child who has ingested a corrosive product?

A. Induce vomiting using Ipecac to remove the corrosive agent. B. Administer vinegar or lemon juice to neutralize the caustic agent. C. Give activated charcoal to decontaminate the stomach. D. Telephone the poison control center and follow their advice.

Correct Answer: D

Rationale: In cases of corrosive product ingestion, it is crucial to contact the poison control center for guidance. Inducing vomiting or attempting to neutralize the agent can lead to further harm. The poison control center professionals are trained to provide specific instructions tailored to the situation, ensuring the best possible outcome for the child.

Question 5 of 5

An adolescent's mother calls the primary HCP's office to inquire about the results of her daughter's serum test that was drawn last week. Since it is the teenager's 18th birthday, how should the nurse respond to this mother's inquiry?

A. Ask when the adolescent was last seen at the clinic B. Tell the mother to have the teenager call the clinic C. Provide the mother with the findings D. Explain that the information cannot be released without the 18-year-old's permission

Correct Answer: D

Rationale: When an individual turns 18, they are legally considered an adult, and privacy laws mandate that their consent is required before sharing their medical information with others. It is important to respect the adolescent's autonomy and privacy rights by explaining to the mother that the information cannot be disclosed without the 18-year-old's permission.

Nurselytic

HESI RN

HESI RN

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