how should a nurse approach the care of a child with a newly diagnosed type 1 diabetes

HESI LPN

HESI PN Nutrition Practice Exam

1. How should a healthcare professional approach the care of a child with a newly diagnosed type 1 diabetes?

A. Emphasize the importance of blood glucose monitoring
B. Avoid insulin therapy
C. Encourage a high-carbohydrate diet
D. Recommend alternative therapies only

Correct answer: A

Rationale: Corrected Rationale: Emphasizing the importance of blood glucose monitoring is crucial for managing type 1 diabetes effectively. Monitoring blood glucose levels helps in maintaining optimal control of the condition, adjusting treatment plans as necessary, and preventing complications. Choice B is incorrect because insulin therapy is the mainstay treatment for type 1 diabetes to regulate blood sugar levels. Choice C is incorrect because while diet is important, encouraging a high-carbohydrate diet can lead to fluctuations in blood sugar levels. Choice D is incorrect because alternative therapies should not replace standard medical treatment like insulin therapy in type 1 diabetes management.

2. What is one benefit of using a large sample size in an experiment?

A. Chance variation is less likely to affect the results.
B. The possibility of a placebo effect is eliminated.
C. The experiment will be double-blind.
D. The control group will be similar to the experimental group.

Correct answer: A

Rationale: Corrected Rationale: Using a large sample size reduces the likelihood of chance variation affecting the results, providing more reliable data. Choice B is incorrect because the placebo effect is related to participants' beliefs, not sample size. Choice C is incorrect as double-blind refers to a method of reducing bias, not directly related to sample size. Choice D is incorrect because the similarity between the control and experimental groups is not solely dependent on sample size.

3. Why must a child with acute laryngotracheobronchitis be kept NPO?

A. The epinephrine administration may cause nausea and vomiting
B. The child is being hydrated with IV fluids
C. The child may not feel hungry
D. Rapid respirations pose a risk for aspiration

Correct answer: D

Rationale: In acute laryngotracheobronchitis, rapid respirations increase the risk of aspiration due to compromised airway protection and potential for secretions to enter the lungs. Keeping the child NPO helps prevent the risk of aspiration pneumonia. Choice A is incorrect because epinephrine is not typically used for laryngotracheobronchitis. Choice B is incorrect as hydration with IV fluids does not eliminate the risk of aspiration. Choice C is also incorrect because the child being hungry is not the primary reason for keeping them NPO in this condition.

4. What should be monitored in a child receiving chemotherapy?

A. Blood glucose levels
B. Blood cell counts
C. Weight gain
D. Skin elasticity

Correct answer: B

Rationale: The correct answer is monitoring blood cell counts. During chemotherapy, it is crucial to monitor blood cell counts to detect potential side effects such as neutropenia (low white blood cell count) and anemia (low red blood cell count). These conditions can increase the risk of infections and fatigue. Monitoring blood glucose levels (Choice A) is not typically a primary concern in children receiving chemotherapy unless they have pre-existing conditions like diabetes. Weight gain (Choice C) and skin elasticity (Choice D) are not directly related to monitoring the effects of chemotherapy in children. Therefore, the most important parameter to monitor in a child receiving chemotherapy is blood cell counts.

5. How should one manage a child with an allergy to multiple food items?

A. Avoid all identified allergens
B. Increase dietary exposure to allergens
C. Administer daily antihistamines
D. Restrict all food intake

Correct answer: A

Rationale: When managing a child with an allergy to multiple food items, the most appropriate approach is to avoid all identified allergens. This is crucial to prevent allergic reactions and ensure the child's safety. Choice B, increasing dietary exposure to allergens, is incorrect as it can lead to severe allergic reactions. Choice C, administering daily antihistamines, may help manage symptoms but does not address the root cause, which is avoiding allergens. Choice D, restricting all food intake, is not a viable option as it can lead to malnutrition and other health issues.