Evolve HESI EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution
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HESI Case Study Diabetes Type 1 () 2026 A+ GRADE ASS
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URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS
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(BE856)




QUESTION 1 vc




Term
ANSWER

Definition



QUESTION 2 vc




According to Erikson, to meet the psychosocial needs of a 5-year-
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old child in relation to a diagnosis of diabetes, which of the following should the nurse i
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mplement?
ANSWER

Allow the client to check blood glucose levels independently whenever possible. This meets the psychos
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ocial needs of a 5 to 8-year-
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old. According to Erikson, this stage of development is initiave vs. guilt. This stage focuses on children's
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abilites, helping them make realistic and appropriate choices, to allow independence.
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QUESTION 3 vc




Which immunizations would the nurse anticipate administering to the client?
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ANSWER

IPV, MMR, Varicella and DtaP. These four immunizations are a included in the vaccine schedule for scho
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ol-aged children. vc




QUESTION 4 vc

, Which assessment findings are of concern to the nurse? (Select all that apply. One, some,
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or all options may be correct.)
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ANSWER

-Vision results of 20/50. Results of 20/40 or worse should be evaluated. -
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Ketones +2 in the urine. Ketones are not a normal finding, but they are commonly present in diabetes. -
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Serum glucose of 210 mg/dL (11.65 mmol/L). Any value greater than 200 mg/dL (11.10 mmol/L) on a
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random plasma glucose is indicative of diabetes.
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QUESTION 5 vc




What nursing action provides the most complete health profile for this family?
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ANSWER

Complete a genogram and an ecomap of the family. The genogram and the ecomap will help the nurse t
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o learn more about this family to complete a comprehensive health profile.
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QUESTION 6 vc




The nurse must briefly explain to the parents what is happening in their child's body. W
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hat is the best explanation by the nurse?
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ANSWER

"The body is not able to make enough insulin and your child will need to take injections." Type 1 diabet
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es mellitus is an auto-immune disease caused by the destruction of insulin-
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producing pancreatic β cells. The client is unable to make insulin and will require insulin injections for t
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he rest of their life.
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QUESTION 7 vc




What approach to care is the most appropriate for the client and family?
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ANSWER

Management of care is a collaboration between members of an interdisciplinary team. An interdisciplina
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ry team composed of many health workers, including a pediatrician, a nurse, a dietitian, a psychologist a
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nd others (as needed), is the best approach for taking care of the family.
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QUESTION 8 vc




The client's initial treatment plan includes three main elements. Which three elements a
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re the most important combination of treatments at this time?
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ANSWER