A nurse caring for a child with DKA is providing fluid resuscitation.
Which statement about fluid resuscitation is correct?

A. "Evaluate the child's emotional well-being.”.

D. "Obtain a detailed history, including family history of diabetes.”.

E. "Regularly monitor blood glucose levels to assess glycemic control.”.

Choice A rationale:

Evaluate the child's emotional well-being.

Assessing the emotional well-being of a child with diabetes is crucial because living with a chronic condition can have a significant impact on a child's mental health.

Children may experience stress, anxiety, and other emotional challenges related to their condition.

This assessment helps in providing comprehensive care and support to the child.

Choice B rationale:

Assess for signs of hyperglycemia, such as polyuria.

While assessing for signs of hyperglycemia, such as polyuria, is important in managing diabetes, it is primarily a physical assessment and not a psychosocial assessment.

It focuses on the physiological aspects of the condition.

Choice C rationale:

Monitor growth patterns and assess for any delays.

Monitoring growth patterns and assessing for delays in a child's development is important but is also primarily a physical assessment.

It is not a direct component of the psychosocial assessment, although it may indirectly impact a child's emotional well-being.

Choice D rationale:

Obtain a detailed history, including family history of diabetes.

Obtaining a detailed history, including a family history of diabetes, is a crucial part of the assessment.

Family history can be a significant risk factor for the development of diabetes in a child.

Understanding the family history helps in identifying potential genetic predispositions.

Choice E rationale:

Regularly monitor blood glucose levels to assess glycemic control.

Regularly monitoring blood glucose levels is essential in managing diabetes.

While it is a key aspect of diabetes care, it primarily falls under the category of physiological monitoring rather than a direct component of psychosocial assessment.

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.