A nurse is gathering information from a 1-year-old child who has been diagnosed with Wilms’ tumor. Which of the following symptoms should the nurse anticipate?

Choice A rationale
While placing a pillow under the child’s head might seem like a good idea, it’s actually not recommended during a seizure. The child’s movements could be unpredictable, and a pillow could potentially cause suffocation.
Choice B rationale
Removing the child’s eyeglasses is a good idea, but it’s not the first thing you should do. The child’s safety is the top priority, and eyeglasses can be removed once the child is safe.
Choice C rationale
Timing the seizure is important for medical professionals to know, but it’s not the first action to take. The child’s immediate safety is the priority.
Choice D rationale
Moving the child into a side-lying position is the priority. This position helps keep the airway clear and allows any vomit to exit the mouth, reducing the risk of choking.

Choice A rationale
Regular blood sugar testing is crucial for managing type 1 diabetes. It helps the child and their caregivers monitor the child’s blood sugar levels and make necessary adjustments to their insulin doses or diet.
Choice B rationale
This statement indicates a need for additional teaching. Even when sick, it’s important for individuals with type 1 diabetes to continue taking their insulin. Illness often causes blood sugar levels to rise, so insulin is still needed.
Choice C rationale
Rotating injection sites can help prevent skin problems, such as lipodystrophy (a lump under the skin caused by the accumulation of extra fat at the site of many subcutaneous injections of insulin). Therefore, this is a correct practice.
Choice D rationale
Physical activity can lower blood sugar levels. Eating a snack before physical activities like playing soccer can help prevent hypoglycemia (low blood sugar). This is a correct understanding of managing physical activity with type 1 diabetes.