A client with diabetes presents with suspected DK

Choice A rationale:

Telling the child to drink less water to control urination is not an appropriate response.

Excessive thirst and increased urination are common symptoms of diabetes, and they occur because the body is trying to get rid of excess glucose through urine.

Dehydration is a concern in diabetes, so advising the child to drink less water is not advisable.

Choice B rationale:

Explaining to the child that these symptoms are due to their body having trouble using glucose properly is an accurate and appropriate response.

Excessive thirst and increased urination are classic symptoms of diabetes mellitus.

When the body cannot use glucose effectively, it tries to eliminate excess glucose through urine, leading to increased urination and subsequent thirst to combat dehydration.

Choice C rationale:

Suggesting that the child should eat more to satisfy their increased hunger is not an appropriate response.

Increased hunger can also be a symptom of diabetes, and advising the child to eat more without addressing the underlying issue of glucose regulation is not helpful.

Choice D rationale:

Weight loss is often an early symptom of diabetes, and it occurs because the body is unable to properly utilize glucose for energy.

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.