A nurse is coordinating care for a child with DKA who is being discharged from the hospital.
The nurse meets with the child's parents to discuss the child's discharge plan and answer any questions they may have.
Which of the following topics should the nurse include in the discharge plan?
Select all that apply.

Choice A rationale:

"The primary treatment for children with diabetes is insulin therapy.”.

This is The correct response.

Insulin therapy is the primary treatment for type 1 diabetes in children and may also be necessary for some with type 2 diabetes.

It is crucial to explain this to the client accurately.

Choice B rationale:

"Children with diabetes can manage their condition solely through dietary modifications.”.

This statement is not accurate.

While diet plays a significant role in diabetes management, it is not the sole treatment.

Insulin or other medications may be necessary, depending on the type and severity of diabetes.

Choice C rationale:

"Regular physical activity is the primary treatment for diabetes in children.”.

While physical activity is essential for diabetes management, it is not the primary treatment.

Insulin therapy or other medications take precedence, and physical activity complements the treatment plan.

Choice D rationale:

"Blood glucose monitoring is not necessary for managing diabetes in children.”.

This statement is incorrect.

Blood glucose monitoring is a crucial part of diabetes management, allowing the child and their healthcare team to make informed decisions about treatment and lifestyle adjustments.

Choice A rationale:

"This hunger is a normal part of growing up.”.

This response is not appropriate.

Increased hunger in a child with diabetes is not a normal part of growing up.

It is essential to provide accurate information and address the child's concerns.

Choice B rationale:

"Increased hunger is a result of the body's inability to utilize glucose properly.”.

This is The correct response.

Increased hunger in diabetes is often due to the body's inability to use glucose properly.

When insulin is deficient or not functioning effectively, the cells cannot take up glucose for energy, leading to increased hunger.

Providing this information helps the child understand the physiological basis of their hunger.

Choice C rationale:

"You should eat smaller, more frequent meals to control your hunger.”.

While this advice can be helpful for managing blood sugar levels in diabetes, it doesn't address the cause of increased hunger.

It is essential to explain the underlying reasons for the symptom.

Choice D rationale:

"This is a side effect of the medication you're taking.”.

This response is not accurate.

Increased hunger in diabetes is primarily related to glucose metabolism and insulin deficiency, not a medication side effect.