A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

A. "I will continue to check his blood sugar two times every day."

Correct Explanation: This statement indicates a need for further instruction.

Explanation: A child with type 1 diabetes requires frequent blood sugar monitoring, especially during illness. Checking blood sugar only twice a day is not sufficient, especially when the child has an upper respiratory infection. Illness can impact blood sugar levels, so more frequent monitoring is necessary to ensure proper diabetes management.

B. "I will report a change in her breathing or any signs of confusion."

Incorrect Explanation: This statement shows awareness of potential complications and the need to monitor for them.

Explanation: Children with type 1 diabetes are at risk of diabetic ketoacidosis (DKA) when they are sick. Changes in breathing patterns and signs of confusion are symptoms of DKA. Reporting these symptoms is important, as it could indicate a serious diabetic complication.

C. "I will encourage her to drink half a cup of water or sugar-free fluid every 30 minutes."

Incorrect Explanation: This statement demonstrates proper fluid management, especially during illness.

Explanation: Encouraging the child to stay hydrated with sugar-free fluids is essential, particularly when the child has an upper respiratory infection. Proper hydration helps prevent dehydration, which can be more concerning for a child with diabetes.

D. "I will notify the doctor if her temperature is not controlled by acetaminophen."

Incorrect Explanation: This statement shows an understanding of the importance of managing fever in a child with diabetes.

Explanation: Children with diabetes can experience difficulty managing blood sugar levels when they're sick. Fever can exacerbate this issue. Using acetaminophen to control fever is appropriate, and notifying the doctor if fever persists is a responsible action.

A. Inattention, Hyperactivity, Impulsivity

Explanation: Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by symptoms of inattention, hyperactivity, and impulsivity. These symptoms can significantly impact an individual's ability to function in various areas of their life, such as school, work, and social interactions.

The other options are not accurate descriptions of ADHD:

B. "Can never be well treated" is not correct. ADHD can be effectively managed and treated through a combination of strategies, which may include behavioral interventions, psychoeducation, counseling, and in some cases, medication.

C. "Inability to learn" is not a defining characteristic of ADHD. While individuals with ADHD might face challenges in learning due to their symptoms, they are certainly capable of learning and can benefit from tailored strategies to support their learning process.

D. "Excess tiredness, impulsivity, and hyperactivity" describes a combination of symptoms, but ADHD is specifically characterized by inattention, hyperactivity, and impulsivity. Tiredness, while not a primary symptom of ADHD, can be a secondary effect of difficulties in focusing and maintaining attention.