Practice Quiz

CCRN Critical Care Nursing

Category - Pediatrics

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A mother of a toddler who recently diagnosed with diabetes type 1 asks the nurse why her child can’t be given oral antidiabetics instead of insulin. The nurse would explain that oral medication would not work for the baby because they:
  1. enhance the release of glycogen from the liver.
  2. enhance the transport of glucose into the cell.
  3. stimulate the release of glucagons from the pancreas to produce insulin.
  4. stimulate the beta cells of the pancreas to produce insulin.
Explanation
Answer: D - Oral antidiabetics stimulate the pancreatic beta cells to synthesize and release insulin; these functional beta cells are absent in children with type 1 diabetes so they rely on exogenous insulin.
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