A 12-year-old has been selected to be a cheerleader for her ...

[londonang]

A 12-year-old has been selected to be a cheerleader for her middle school. This child has been recently diagnosed with type I diabetes.
 
  In teaching this child's mother about care for her child, the nurse wants the mother to understand that with increased physical activity, the child will need: 1. Increased food intake.
   2. Decreased food intake.
   3. Increased doses of insulin.
   4. Decreased doses of insulin.

Question 2

A teenager has arrived in the Emergency Department (ED) with confusion. The physician suspects diabetic ketoacidosis (DKA). A stat serum glucose is done, and the result is 765mg/dL.
 
  The nurse expects that this teen has which of the following symptoms? 1. Dry skin, shallow rapid breathing, and dehydration
   2. Tachycardia, dehydration, and abdominal pain
   3. Sweating, photophobia, and tremors
   4. Dry mucous membranes, blurred vision, and weakness

[eliasc0401]

Answer to Question 1

1
Rationale:
1. An increase in physical activity requires an increase in caloric intake to prevent hypoglycemia.
2. Decreased food intake would increase the chance of hypoglycemia.
3. Increased dose of insulin would cause hypoglycemia. Exercise causes insulin to be used more efficiently by the body, so an increase in insulin would not be needed.
4. A decreased dose of insulin would not allow the sugar to enter the cells where it is needed during exercise.

Answer to Question 2

4
Rationale:
1. Dry skin and dehydration are signs of hyperglycemia, but shallow breathing is a sign of hypoglycemia.
2. Tachycardia is seen in hypoglycemia.
3. Sweating, photophobia, and tremors are indicative of hypoglycemia.
4. Dry mucous membranes, blurred vision, and weakness are seen with hyperglycemia.

[londonang]

Gracias!

[mohan]

Excellent