The nurse is caring for an older adult client that is exhibiting signs of confusion. Which intervention should the nurse implement?

Choice A reason:

Prediabetes in children is typically managed with lifestyle interventions, such as increased physical activity and dietary control, rather than insulin therapy.

Choice B reason:

Recommending an increase in caloric intake to avoid excessive weight loss is important but not the primary concern in this scenario. While maintaining a balanced diet is crucial for children with prediabetes, the immediate focus should be on managing blood glucose levels during physical activity. Increased caloric intake can help support the child’s energy needs, but it does not directly address the potential risks associated with exercise-induced hypoglycemia. Therefore, while caloric intake adjustments may be necessary, they should be secondary to ensuring proper insulin management.

Choice C reason:

Suggesting a less strenuous activity to reduce the risk for dehydration is not the best approach. Physical activity is beneficial for children with prediabetes as it helps improve insulin sensitivity and overall health. Instead of limiting the child’s activity, it is more effective to educate the family on proper hydration strategies and how to manage blood glucose levels during exercise. Encouraging regular physical activity, such as soccer, can help reduce the risk of developing type 2 diabetes and promote a healthy lifestyle. Proper hydration and monitoring can mitigate the risk of dehydration without restricting the child’s participation in sports.

Choice D reason:

Engaging in regular physical activity is a cornerstone in managing prediabetes in children. It enhances insulin sensitivity and helps maintain healthy blood glucose levels. The American Academy of Pediatrics recommends that all children, including those with diabetes mellitus, engage in at least 60 minutes of daily physical activity starting at 5 years of age. Therefore, encouraging the child to join a soccer team aligns with these guidelines and can be beneficial in reducing the risk of progressing to type 2 diabetes.

Choice C reason:

Avocados and bananas are high in potassium, which clients with stage 4 chronic kidney disease need to limit. As kidney function declines, the ability to excrete potassium decreases, leading to the risk of hyperkalemia. High potassium levels can cause serious heart problems, so it is important for these clients to avoid foods that are high in potassium.

Choice A reason:

Cherries and cranberries are generally low in potassium and can be included in the diet of clients with chronic kidney disease. They do not pose the same risk as high-potassium foods.

Choice B reason:

Carrots and green beans are also low in potassium and are safe for clients with chronic kidney disease to consume. They provide essential nutrients without contributing to high potassium levels.

Choice D reason:

Apples and blueberries are low in potassium and are safe for clients with chronic kidney disease. They can be included in the diet without increasing the risk of hyperkalemia.