Which is the nurse's best response to the parents of a 10-year-old child newly diagnosed with type 1 diabetes mellitus who are concerned about the child's continued participation in soccer?

The nurse's best response to the parents of a 10-year-old child newly diagnosed with type 1
diabetes mellitus, who are concerned about the child's continued participation in soccer, is to
reassure them that it is generally safe for the child to play sports such as soccer unless the
weather is too hot.
Regular physical activity, including participation in sports, is generally encouraged for
children with type 1 diabetes as long as certain precautions are taken. It is important for the
child to have a well-managed diabetes management plan in place, which may include
monitoring blood sugar levels before, during, and after physical activity, adjusting insulin
doses as necessary, and having appropriate snacks available to maintain blood sugar levels.
Option B, suggesting the swim team as an alternative to soccer, may be a viable option if the
child or parents prefer swimming or if the child has specific concerns related to soccer.
However, it is not the best response to the parents' concern about the child's continued
participation in soccer.
Option C, recommending an extra carbohydrate snack before soccer practice, is a valid
suggestion to help maintain the child's blood sugar levels during physical activity. However,
it should be part of a comprehensive diabetes management plan and not the sole response to
the parents' concern.
Option D, encouraging intellectual activity rather than participation in sports, is not
appropriate as physical activity is generally beneficial for children with type 1 diabetes, as
long as appropriate precautions are taken.

Upper extremity fractures in children commonly occur as a result of falls. Children are more prone to falls due to their developing motor skills, balance, and coordination. They may fall from playground equipment, bicycles, or simply while running or playing.

While sports injuries (Option A) can also lead to upper extremity fractures, falls are generally the most common cause in children.

Physical abuse (Option B) is an unfortunate possibility in some cases, but it is important to approach the assessment without assuming abuse as the cause without appropriate evidence or disclosure.

Upper extremity fractures resulting from automobile crashes (Option D) are less common in children compared to falls or sports injuries, although they can occur in severe accidents.

It is always important for the nurse to assess the child's history, obtain a detailed account of the injury, and consider any additional signs or indications that may suggest non-accidental trauma if appropriate.