A nurse is assisting with the care of a hospitalized toddler who has congenital heart disease. The parent calls the nurse to the room to ask for fresh linens and states, "My child never wets the bed at home. I am not sure why this is happening now." Which of the following responses should the nurse make to the parent?

Rationale:

A) Increasing carbohydrate intake when sick can disrupt blood sugar control and should be done cautiously under the guidance of a healthcare provider.

B) Omitting the bedtime snack can lead to overnight hypoglycemia, especially in children with diabetes who are at risk for low blood sugar during the night.

C) While proteins are part of a balanced diet, the main focus of a child's meal plan with diabetes should be on balancing carbohydrates with proteins and fats for better blood sugar control.

D) Including a snack before physical activity helps prevent hypoglycemia during exercise by providing additional carbohydrates to fuel the activity.

A. Allowing a toddler to button up their own shirt can be frustrating for them as they may not have developed the fine motor skills required for this task, leading to potential distress.
B. Asking toddlers questions that require a "yes" or "no" answer can limit their language development as it does not encourage them to use language expressively.
C. While providing opportunities to share toys with others is important for social development, it is not the most critical aspect of care in this context.
D. Ensuring the toddler has at least one nap during the day is crucial as toddlers need ample sleep for proper development and to prevent overtiredness, which can affect their mood and behavior.