A nurse is assessing a school-age child who is receiving cefazolin. For which of the following adverse effects should the nurse monitor?

Rationale:

A. Disseminated intravascular coagulation (DIC) is associated with consumption of clotting factors, leading to prolonged clotting times, such as increased prothrombin time (PT) and activated partial thromboplastin time (aPTT), rather than decreased.
B. DIC does not typically cause an increase in hemoglobin (Hgb) levels; in fact, it may lead to anemia due to blood loss and consumption of clotting factors.
C. DIC does not typically cause an increase in red blood cell (RBC) count; if anything, it can lead to anemia due to blood loss.
D. DIC is characterized by widespread activation of coagulation, leading to consumption of platelets and decreased platelet count, which can result in bleeding tendencies.

Rationale:

A. Storing opened vials of insulin for up to 60 days is incorrect. Insulin should be discarded after the manufacturer's recommended expiration date or within 28 days after opening, whichever comes first.

B. Physical therapy is not typically indicated as part of routine care for adolescents with type 1 diabetes mellitus. However, regular physical activity is encouraged for overall health and blood sugar management.

C. Consulting with a nutritionist is important for adolescents with type 1 diabetes mellitus to receive individualized meal planning guidance, carbohydrate counting education, and dietary recommendations to help manage blood sugar levels.

D. Monitoring capillary blood glucose daily is essential for adolescents with type 1 diabetes mellitus, but it is not the only recommendation. Comprehensive diabetes management includes multiple aspects such as insulin therapy, dietary modifications, physical activity, and regular monitoring of blood glucose levels.