A nurse is teaching a parent of a child who has type 1 diabetes mellitus. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer: C

Rationale: The correct answer is C) "I will rotate injection sites each time I give my child insulin." This statement indicates an understanding of the teaching because rotating injection sites helps prevent lipodystrophy, a condition where fatty tissue under the skin becomes lumpy or hollow due to repeated injections in the same area. By rotating sites, insulin absorption remains consistent, leading to better glucose control. Option A is incorrect because while notifying the school is important, it does not specifically address diabetes management at home. Option B is incorrect as giving a carbohydrate snack for low blood glucose is a good practice, but it doesn't demonstrate an understanding of insulin administration. Option D is incorrect as the flu vaccine is essential for children with diabetes, but it doesn't directly relate to insulin administration. In a pediatric nursing context, teaching parents about insulin administration is crucial for managing type 1 diabetes in children. Understanding proper injection techniques and site rotation can prevent complications and ensure effective treatment. Parents play a vital role in their child's diabetes care, and empowering them with correct information is key to successful management.

Correct Answer: A

Rationale: Boiling the nipples and pacifiers for 20 minutes each day is an appropriate measure to prevent reinfection of oral candidiasis. This practice helps eliminate the Candida fungus from these items, reducing the risk of the child getting reinfected. It is crucial for the parent to follow this hygienic practice consistently to ensure the child's recovery and prevent the spread of the infection.

Correct Answer: A

Rationale: Intussusception is a condition where one segment of the intestine telescopes into another, causing obstruction. The classic presentation includes currant jelly stools, which are a mixture of blood and mucus due to the sloughing of the intestinal mucosa. This finding is a result of the compromised blood supply to the affected area and is a key characteristic associated with intussusception.

Correct Answer: A

Rationale: The correct answer is A because an undescended testicle can reduce fertility. Even after surgical correction (orchiopexy), fertility rates may be reduced, especially when one testis remains undescended. The statement in choice B is incorrect as the testicle should have descended into the scrotum by the time the infant is 4-6 months old. While choice C is true that surgical correction can reduce the risk of testicular tumors, the question focuses on the father's understanding of the information presented, which is better reflected in choice A. Choice D is incorrect because the optimal time for surgical correction of an undescended testicle is typically around 6-18 months of age, not necessarily at the time of diagnosis.

Correct Answer: D

Rationale: Acute glomerulonephritis typically develops 1 to 3 weeks after a streptococcal infection, such as a sore throat, which triggers an allergic-type response that affects the glomeruli's function. This immune response leads to inflammation and damage to the glomeruli, resulting in acute glomerulonephritis.