A 10-year-old patient is talking to the nurse about wanting to ...

[Mollykgkg]

A 10-year-old patient is talking to the nurse about wanting to try contact lenses instead of wearing glasses. She states that the other children at her school call her four-eyes. Contact lenses should be prescribed for a child who is
 
  a. At least 12 years of age
  b. Able to read all the written information and instructions
  c. Able to independently care for the lenses in a responsible manner
  d. Confident that she really wants contact lenses

Question 2

The nurse is discussing the insulin needs of a primiparous client with diabetes who has been using insulin for the past few years.
 
  The nurse informs the client that her insulin needs will increase during pregnancy based on the nurse's understanding that the placenta produces: A) hCG, which increases maternal glucose levels
  B) hPL, which deceases the effectiveness of insulin
  C) Estriol, which interferes with insulin crossing the placenta
  D) Relaxin, which decreases the amount of insulin produced

[bassamabas]

Answer to Question 1

C
Feedback
A Chronologic age is not the major determinant. A responsible 10-year-old child
might be permitted to wear contact lenses.
B The ability to read does not indicate understanding of the instructions.
C The child must be able to care for the lenses independently. Serious eye damage
can occur with irresponsible use of contact lenses.
D Confidence and wanting do not equal responsibility.

Answer to Question 2

B
Feedback:
hPL acts as an antagonist to insulin, so the mother must produce more insulin to overcome this resistance. If the mother has diabetes, then her insulin need would most likely increase to meet this demand. hCG does not affect insulin and glucose level. Estrogen, not estriol, is believed to oppose insulin. In addition, insulin does not cross the placenta. Relaxin is not associated with insulin resistance.

[Mollykgkg]

TYSM

[AngeliqueG]

Excellent