When managing sick days for a child with Type 1 diabetes mellitus, which of the following should be included in the teaching?

Limit water intake to prevent hyponatremia.

Check blood glucose every 8-12 hours.

Drink 8oz of apple or orange juice every hour.

Always give scheduled insulin even if the child has no appetite.

Answer and Explanation

The Correct Answer is D

Choice A reason: Limiting water intake is not recommended as adequate hydration is important, especially when sick.
Choice B reason: Checking blood glucose every 8-12 hours is not frequent enough; it should be monitored more often during illness.
Choice C reason: Drinking juice every hour is not necessary and could lead to hyperglycemia if not balanced with insulin.
Choice D reason: This is the correct choice. It is crucial to continue administering insulin as prescribed to manage blood glucose levels, even if the child is not eating as much.

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Correct Answer is C

Explanation

Choice A reason: A 7-year-old child may have some difficulty with separation but is typically able to understand the reason for hospitalization better than younger children.
Choice B reason: A 5-month-old infant may show signs of distress but does not have the same understanding of separation as an older child.
Choice C reason: This is the correct choice. A 4-year-old child is at a developmental stage where separation from family can cause significant distress and difficulty.
Choice D reason: A 15-month-old toddler may experience separation anxiety, but it is generally more intense in preschool-aged children.

A. Keep alarm levels low. B. Keep the lights dimmed at night. C. Encourage the same nurses to take care of the patient on consecutive days. D. Facilitate visits from school friends.

Correct Answer is C

Explanation

Choice A reason: Keeping alarm levels low is important to reduce stress and promote a healing environment, but it is not the most impactful intervention for personalized care.

Choice B reason: Dimming the lights at night helps maintain a normal sleep-wake cycle, which is beneficial but not as specific to the client's individual needs as continuity of care.

Choice C reason: Having the same nurses care for the patient on consecutive days can provide consistency and build trust, which is especially important for a child in critical condition.

Choice D reason: While visits from school friends can be uplifting, they may not be feasible or appropriate for a client in critical condition in the PICU. The priority is ensuring stable and consistent care.

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When managing sick days for a child with Type 1 diabetes mellitus, which of the following should be included in the teaching?

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Naxlex Comprehensive Predictor Exams

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