A client is concerned about complications associated with diabetes in children.
What should the nurse explain about the prevention of complications in children with diabetes mellitus?
"Acute complications like hypoglycemia cannot be prevented in children.”..
"Long-term complications such as retinopathy and nephropathy are not a concern for children.”..
"Strategies can be implemented to prevent both acute and long-term complications.”..
"There is no need for regular follow-up visits to monitor glycemic control.”..
The Correct Answer is C
Choice A rationale:
"Acute complications like hypoglycemia cannot be prevented in children.”.
Hypoglycemia is an acute complication of diabetes that can be prevented and managed.
Education on recognizing and treating low blood sugar episodes, monitoring blood glucose levels, and adjusting insulin or medications appropriately can significantly reduce the risk of hypoglycemia in children with diabetes.
Choice B rationale:
"Long-term complications such as retinopathy and nephropathy are not a concern for children.”.
Long-term complications like retinopathy (eye problems) and nephropathy (kidney problems) can affect children with diabetes, especially if their blood sugar levels are poorly controlled over time.
It is essential to emphasize the importance of glycemic control and regular medical check-ups to monitor for early signs of these complications and take preventive measures.
Choice C rationale:
"Strategies can be implemented to prevent both acute and long-term complications.”.
This is The correct answer.
Strategies can be implemented to prevent both acute and long-term complications in children with diabetes.
These strategies include maintaining good glycemic control through proper insulin management, following a healthy diet, engaging in regular physical activity, and regular medical follow-ups.
Preventive measures, such as eye and kidney screenings, can also help detect potential issues early and intervene appropriately.
Choice D rationale:
"There is no need for regular follow-up visits to monitor glycemic control.”.
Regular follow-up visits to monitor glycemic control are essential for children with diabetes.
These visits allow healthcare professionals to assess the child's blood sugar management, adjust treatment plans as needed, and provide ongoing education and support.
Skipping follow-up visits can increase the risk of complications and hinder effective diabetes management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Dehydration.
Choice A rationale:
Hypovolemia Hypovolemia refers to a decreased blood volume and can lead to decreased urine output.
However, in the context of a patient with suspected DKA, the primary concern is dehydration due to excessive loss of fluids and electrolytes through polyuria (excessive urination) and osmotic diuresis.
This leads to dehydration rather than hypovolemia.
Choice B rationale:
Hyperglycemia Hyperglycemia is a characteristic feature of DKA, but it doesn't directly cause decreased urine output.
In fact, hyperglycemia often leads to increased urine output due to the osmotic diuresis caused by high blood glucose levels.
Choice D rationale:
Prolonged capillary refill time Prolonged capillary refill time is a sign of poor perfusion and can be associated with hypovolemia.
However, it is not the primary concern in a patient with suspected DKA who is experiencing dehydration.
The decreased urine output is primarily due to the loss of fluids and electrolytes from hyperglycemia and osmotic diuresis.
Now, let's move on to the next question.
Correct Answer is B
Explanation
Choice A rationale:
The statement mentions that children with a family history of diabetes have an increased risk of developing the condition.
While family history is a risk factor for diabetes, it doesn't explain the causes of diabetes mellitus in children.
It only highlights one of the risk factors.
Choice B rationale:
This statement accurately explains one of the causes of diabetes mellitus in children.
In type 1 diabetes, the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas.
This immune-mediated destruction of beta cells is a key factor in the development of type 1 diabetes in children.
Choice C rationale:
This statement mentions that certain viral infections and dietary factors may trigger the development of diabetes in susceptible individuals.
Choice D rationale:
This statement is more relevant to type 2 diabetes as it mentions a combination of insulin resistance and impaired insulin secretion.
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