A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

A) "I can store unopened bottles of insulin in the freezer."

This statement is incorrect. Insulin should not be stored in the freezer. Insulin should be stored in the refrigerator, and the currently used vial can be kept at room temperature for up to 28 days to avoid the discomfort of injecting cold insulin.

B) "I should not take my regular insulin when I am sick."

This statement is incorrect. When a person with type 1 diabetes is sick, it's important to continue taking insulin. In fact, during illness, blood sugar levels can become more difficult to manage, and insulin may be needed in adjusted doses. Skipping insulin during sickness can lead to uncontrolled blood sugar levels and potentially worsen the illness.

C) "My morning blood glucose should be between 90 and 130."

This statement is a good range to aim for in terms of fasting blood glucose levels, but it's not an indication of understanding the teaching about diabetes management as a whole. While this knowledge is important, the statement about eating a snack before playing soccer directly reflects understanding of how to manage blood sugar during physical activity.

"D) I should eat a snack half an hour before playing soccer."

Explanation:

Managing blood sugar levels is crucial for individuals with type 1 diabetes, especially when engaging in physical activities like playing soccer. Eating a snack before playing helps prevent hypoglycemia (low blood sugar) during exercise. Physical activity can cause the body to use up glucose faster, potentially leading to low blood sugar levels, and having a snack before exercise can help maintain stable blood sugar levels.

A) Preventing further Urinary Tract Infections:

This is a relevant priority for patients with reflux. Vesicoureteral reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and sometimes to the kidneys, increasing the risk of urinary tract infections (UTIs). Preventing UTIs is important because recurring infections can lead to more severe kidney problems and complications. Teaching patients and caregivers about hygiene, proper voiding techniques, and recognizing UTI symptoms is crucial to minimize the risk of infections.

B) Preventing kidney damage:

Preventing kidney damage is a significant priority for patients with reflux. If urine refluxes back into the kidneys, it can lead to kidney damage over time. This damage can affect kidney function and potentially lead to chronic kidney disease. Monitoring kidney function, managing UTIs promptly, and considering medical or surgical interventions to correct reflux are all important strategies to prevent kidney damage.

C) The chances of needing brain surgery:

The chances of needing brain surgery are not directly related to reflux. Reflux primarily involves the urinary system, specifically the flow of urine from the bladder to the kidneys. Brain surgery is not a relevant consideration in the context of reflux or its management.

D) Antibiotic usage teaching with the presence of an infection:

This is an important aspect of care for patients with reflux who develop urinary tract infections. UTIs are common complications of reflux, and appropriate use of antibiotics is crucial to treat infections effectively and prevent further complications. Teaching patients and caregivers about the importance of completing prescribed antibiotic courses, recognizing signs of infection, and adhering to medical advice is essential to manage UTIs in the presence of reflux.