When would a child diagnosed with insulin-dependent diabetes ...

[tiara099]

When would a child diagnosed with insulin-dependent diabetes mellitus most likely demonstrate a decreased need for insulin?
 
  a. During the honeymoon phase
  b. During adolescence
  c. During growth spurts
  d. During minor illnesses

Question 2

Which sign is the nurse most likely to assess in a child with hypoglycemia?
 
  a. Urine positive for ketones and serum glucose greater than 300 mg/dL
  b. Normal sensorium and serum glucose greater than 160 mg/dL
  c. Irritability and serum glucose less than 70 mg/dL
  d. Increased urination and serum glucose less than 120 mg/dL

[Jmfn03]

Answer to Question 1

A
During the honeymoon phase, which may last from a few weeks to a year or longer, the child is likely to need less insulin. During adolescence, physical growth and hormonal changes contribute to an increase in insulin requirements. Insulin requirements are typically increased during growth spurts. Stress either from illness or from events in the environment can cause hyperglycemia. Insulin requirements are increased during periods of minor illness.

Answer to Question 2

C
Irritability and serum glucose less than 70 mg/dL are neuroglycopenic manifestations of hypoglycemia. Serum glucose greater than 300 mg/dL and urine positive for ketones are indicative of diabetic ketoacidosis. Normal sensorium and serum glucose greater than 160 mg/dL are associated with hyperglycemia. Increased urination is an indicator of hyperglycemia. A serum glucose level less than 120 mg/dL is within normal limits.

[tiara099]

Excellent

[marict]

TYSM