The school nurse has noticed an increase in the number of ...

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The school nurse has noticed an increase in the number of children in the school being diagnosed with type 2 diabetes.
 
  Which changes could the nurse implement at school to help reduce students' risk for developing type 2 diabetes? Standard Text: Select all that apply. 1. Increase the amount of daily physical activity.
  2. Meet with all parents and explain the risk that is associated with obesity.
  3. Test each child's urine monthly.
  4. Teach the parents to avoid administering aspirin to their children.
  5. Work with the cafeteria to decrease the amount of fat in the foods served.

Question 2

During a summer healthy child visit, the mother tells the nurse that when school starts, she will be going back to work. The mother expresses her concern that her child will be a latchkey kid.
 
  Which suggestions will the nurse make to help maintain the child's safety and comfort? Standard Text: Select all that apply. 1. During the summer, leave the child home alone for short periods of time.
  2. Ensure that an adult will always be available by phone.
  3. Allow the child's close friend to stay with the child so that he will not be alone.
  4. Plan some activities that can serve as distractions for the child while alone.
  5. Ensure that the child knows how and when to call 911.

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Answer to Question 1

1,2,5
Rationale 1: Increased physical activity will decrease a child's risk of developing type 2 diabetes.
Rationale 2: Obese children have an increased risk of type 2 diabetes. Working with the parents, the nurse can reduce the obesity in the school.
Rationale 3: Testing urine will not decrease the risk of developing type 2 diabetes, although it may lead to earlier diagnosis of the disease.
Rationale 4: Aspirin administration is not related to type 2 diabetes.
Rationale 5: A diet high in fat is associated with type 2 diabetes.
Global

Answer to Question 2

1,2,4,5
Rationale 1: This is appropriate to give the child time to become accustomed to being alone in the home.
Rationale 2: This provides back-up for the child should a situation arise that the child cannot handle
Rationale 3: Because there is no adult present, it is not a good idea to have another child present in the home.
Rationale 4: This will keep the child busy with safe activities and reduce the attraction of unsafe activities.
Rationale 5: Children must know not only how to call 911 but also when it is appropriate to call.
Global Rationale:

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TYSM

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Excellent