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.
How to monitor the child's blood glucose levels at home.
How to give the child insulin injections.
What to do if the child develops symptoms of DKA, such as abdominal pain, nausea, and vomiting.
How to prevent the child from developing DKA again in the future.
How to contact the child's healthcare provider if they have any questions or concerns.
Correct Answer : A,B,C,E
Choice A rationale:
Teaching parents how to monitor the child's blood glucose levels at home is essential in the discharge plan for a child with DKA.
It empowers parents to manage their child's condition and ensure that blood glucose levels are within a safe range.
Home monitoring is crucial for preventing recurrence and managing diabetes effectively.
Choice B rationale:
Instructing parents on how to give the child insulin injections is another critical aspect of the discharge plan.
Children with DKA often require insulin therapy to manage their blood glucose levels.
Proper administration of insulin is essential to prevent hyperglycemia and DKA recurrence.
Choice C rationale:
Educating parents on what to do if the child develops symptoms of DKA, such as abdominal pain, nausea, and vomiting, is important.
Recognizing the early signs of DKA and seeking medical attention promptly is crucial to prevent the condition from worsening.
Teaching parents to be vigilant for these symptoms can help prevent DKA recurrence.
Choice D rationale:
Preventing the child from developing DKA again in the future is a crucial part of the discharge plan.
While this is a broad goal, it can encompass education on various aspects, such as the importance of insulin compliance, regular medical check-ups, and diabetes management strategies.
Preventing recurrence is a primary objective of DKA management.
Choice E rationale:
Providing information on how to contact the child's healthcare provider if parents have any questions or concerns is essential.
Open communication with healthcare providers is vital for ongoing support, guidance, and adjustments to the child's diabetes management plan.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The statement mentions that children with a family history of diabetes have an increased risk of developing the condition.
While family history is a risk factor for diabetes, it doesn't explain the causes of diabetes mellitus in children.
It only highlights one of the risk factors.
Choice B rationale:
This statement accurately explains one of the causes of diabetes mellitus in children.
In type 1 diabetes, the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas.
This immune-mediated destruction of beta cells is a key factor in the development of type 1 diabetes in children.
Choice C rationale:
This statement mentions that certain viral infections and dietary factors may trigger the development of diabetes in susceptible individuals.
Choice D rationale:
This statement is more relevant to type 2 diabetes as it mentions a combination of insulin resistance and impaired insulin secretion.
Correct Answer is A
Explanation
Choice A rationale:
Genetic factors play a significant role in the development of diabetes mellitus, especially when there is a family history of the disease.
People with a family history of diabetes are at a higher risk of developing the condition due to the inheritance of certain genes that predispose them to diabetes.
These genetic factors can influence insulin production, insulin sensitivity, and glucose regulation.
The genetic component of diabetes is well-established, and research has identified specific genes associated with both type 1 and type 2 diabetes.
It's important to educate the client about the importance of monitoring their blood sugar levels and adopting a healthy lifestyle to reduce their risk, given their family history.
Choice B rationale:
Autoimmune destruction of beta cells is more associated with type 1 diabetes rather than a family history of the disease.
Type 1 diabetes is an autoimmune condition in which the body's immune system mistakenly targets and destroys the insulin-producing beta cells in the pancreas.
While this is a critical factor in type 1 diabetes, it is not typically linked to family history as a primary risk factor.
Choice C rationale:
Insufficient insulin is a consequence of diabetes rather than a risk factor.
In diabetes, the problem is usually related to the body's inability to produce enough insulin (in type 1 diabetes) or effectively use the insulin produced (in type 2 diabetes).
Insufficient insulin is a result of the disease, not a contributing factor related to family history.
Choice D rationale:
Lack of physical activity can be a risk factor for diabetes, especially type 2 diabetes, but it is not the primary factor associated with a family history of the disease.
Lack of physical activity may contribute to the development of diabetes in individuals who are already at risk due to genetic factors or other lifestyle-related factors.
It's essential to promote physical activity and a healthy lifestyle, but this is not the primary risk factor in the context of family history.
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