21. Hyperglycemia associated with diabetic ketoacidosis is defined as a blood glucose measurement equal to or greater than _____ mg/dl.

a. 100

b. 120

c. 180

d. 200

22. Type 1 diabetes mellitus is suspected in an adolescent. Which clinical manifestation may be present?

a. Moist skin

b. Weight gain

c. Fluid overload

d. Poor wound healing

23. A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes. The nurse should base the explanation on which knowledge?

a. It is a less expensive method of testing.

b. It is not as accurate as laboratory testing.

c. Children are better able to manage the diabetes.

d. Parents are better able to manage the disease.

24. The parent of a child with diabetes mellitus asks the nurse when urine testing will be necessary. The nurse should explain that urine testing is necessary for which?

a. Glucose is needed before administration of insulin.

b. Glucose is needed four times a day.

c. Glycosylated hemoglobin is required.

d. Ketonuria is suspected.

25. The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise. Which should the nurse explain about exercise in type 1 diabetes?

a. Exercise will increase blood glucose.

b. Exercise should be restricted.

c. Extra snacks are needed before exercise.

d. Extra insulin is required during exercise.

26. A child eats some sugar cubes after experiencing symptoms of hypoglycemia. This rapid-releasing sugar should be followed by:

a. fat.

b. fruit juice.

c. several glasses of water.

d. complex carbohydrate and protein.

27. The nurse is caring for an 8-year-old child with type 1 diabetes. The nurse should teach the child to monitor for which manifestation of hypoglycemia?

a. Lethargy

b. Thirst

c. Nausea and vomiting

d. Shaky feeling and dizziness

28. The nurse is caring for an 11-year-old boy who has recently been diagnosed with diabetes. Which should be included in the teaching plan for daily injections?

a. The parents do not need to learn the procedure.

b. He is old enough to give most of his own injections.

c. Self-injections will be possible when he is closer to adolescence.

d. He can learn about self-injections when he is able to reach all injection sites.

29. The nurse is discussing with a child and family the various sites used for insulin injections. Which site usually has the fastest rate of absorption?

a. Arm

b. Leg

c. Buttock

d. Abdomen

30. To help the adolescent deal with diabetes, the nurse must consider which characteristic of adolescence?

a. Desire to be unique

b. Preoccupation with the future

c. Need to be perfect and similar to peers

d. Need to make peers aware of the seriousness of hypoglycemic reactions