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A nurse is providing teaching to a school-age client who has a new diagnosis of type 1 diabetes mellitus. Which statement by the client indicates an understanding of the teaching?

A.

"I will reduce my insulin dose if I am sick."

B.

"I will eat a snack half an hour before playing soccer."

C.

"I will count the amount of fat calories I consume to manage my diabetes."

D.

"I will check my blood glucose level after meals."

Answer and Explanation

The Correct Answer is B

Rationale:

 

A. Insulin doses should not be reduced when sick, as illness often increases blood glucose levels.

 

B. Eating a snack before physical activity helps prevent hypoglycemia, demonstrating a good understanding of how to manage blood glucose levels during exercise.

 

C. Counting carbohydrates, not fat calories, is essential for managing blood glucose levels in diabetes.

 

D. Blood glucose levels are typically checked before meals and at other key times, rather than only after meals.


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Correct Answer is A

Explanation

Rationale:

A. Profound cyanosis is a key sign of tricuspid atresia, a congenital heart defect where the tricuspid valve is absent, leading to poor oxygenation of the blood.

B. Periorbital edema is not typically associated with tricuspid atresia; it might be seen in other conditions like nephrotic syndrome.

C. Absent femoral pulses suggest coarctation of the aorta rather than tricuspid atresia.

D. Decreased blood pressure in the lower extremities is also more indicative of coarctation of the aorta, not tricuspid atresia.

Correct Answer is A

Explanation

Rationale:

A. Circumcision is often delayed in newborns with hypospadias because the foreskin may be needed for the surgical repair of the urethra.

B. While surgery is necessary, it is not typically an emergency; it is planned and performed later in infancy.

C. In hypospadias, the urethral opening is located on the underside (ventral side) of the penis, not the top.

D. Undescended testicles (cryptorchidism) are a separate condition from hypospadias.

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