The nurse is teaching the family about caring for their 7-year-old, who has been diagnosed with type I DM. What information should the nurse provide about type I DM?

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Question 1 of 5

The nurse is teaching the family about caring for their 7-year-old, who has been diagnosed with type I DM. What information should the nurse provide about type I DM?

Correct Answer: D

Rationale: Type I DM, also known as insulin-dependent diabetes mellitus, is characterized mainly by insulin deficiency. In this type of diabetes, the pancreas produces little to no insulin, which is essential for regulating blood glucose levels. Therefore, individuals with type I DM require lifelong insulin therapy to manage their condition. Unlike type II DM, which is associated with insulin resistance, type I DM is not preventable through lifestyle modifications like diet and exercise alone. It is crucial for the nurse to educate the family about the importance of insulin therapy, monitoring blood glucose levels, carbohydrate counting, and responding to hypoglycemic episodes in caring for their 7-year-old with type I DM.

Question 2 of 5

Mr. and Mrs. Robertson's son was diagnosed with idiopathic thrombocytopenic purpura. They should be aware that the drug to be avoided is:

Correct Answer: B

Rationale: Idiopathic thrombocytopenic purpura is a condition characterized by a low platelet count. Aspirin is a known blood thinner and can further decrease platelet function, potentially worsening thrombocytopenia. Therefore, Mr. and Mrs. Robertson's son should avoid taking aspirin to prevent any exacerbation of his condition.

Question 3 of 5

A 12-month-old boy weighed 8 lb 2 oz at birth. What weight should the nurse expect him to be now?

Correct Answer: C

Rationale: Infants typically triple their birth weight by 12 months. For an 8-lb infant, that would be approximately 24 lb.

Question 4 of 5

The nurse is teaching about congenital clubfoot in infants. The nurse evaluates the teaching as successful when the parent states that clubfoot is best treated when?

Correct Answer: A

Rationale: Congenital clubfoot is best treated when started immediately after diagnosis. Early intervention and treatment are crucial for better outcomes in correcting clubfoot deformities. Tendons and ligaments are more flexible in infants, making it easier to manipulate and correct the foot. Starting treatment as early as possible can help prevent long-term complications and improve the child's ability to walk normally. Therapy may involve stretching exercises, casting, or surgery, depending on the severity of the condition. Therefore, early intervention is key in the successful management of congenital clubfoot in infants.

Question 5 of 5

A few hours before the patient was admitted at the hospital, he complained of fever, nausea and vomiting, and vague abdominal pain. The doctor examined the patient as a case of acute appendicitis and prepared for appendectomy. The nurse anticipates that this type of surgery is classified as:

Correct Answer: A

Rationale: Appendectomy as a treatment for acute appendicitis is classified as an emergency surgery. Acute appendicitis is considered a medical emergency that requires prompt surgical intervention to prevent complications such as a ruptured appendix, which can lead to peritonitis, a life-threatening condition. In emergency situations, surgery must be done urgently to address the immediate threat to the patient's health. This is in contrast to elective surgeries, which are typically scheduled in advance and do not require immediate attention. In the case described, the patient's symptoms of fever, nausea, vomiting, and vague abdominal pain suggest an acute presentation that necessitates urgent surgical intervention, making it an emergency appendectomy.

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