A nurse is educating a child and their family about DKA management.
What is an essential aspect of patient and family education in DKA care?
"Providing education on insulin therapy.”
"Focusing solely on dietary recommendations.”
"Avoiding discussions about blood glucose monitoring.”
"Neglecting to mention the risk of cerebral edema.”
The Correct Answer is A
Choice A rationale:
Education on insulin therapy is a fundamental aspect of DKA management.
Insulin is a crucial component in treating DKA as it helps lower elevated blood glucose levels and corrects the ketosis and acidosis.
It is essential for the patient and their family to understand how insulin works, how to administer it, and when to administer it.
Proper insulin therapy can prevent further complications and guide the management of DKA.
Choice B rationale:
Focusing solely on dietary recommendations is not appropriate in the initial management of DKA.
While dietary management is important for long-term diabetes care, it is not the primary focus during the acute phase of DKA.
The priority is to address the high blood glucose levels and ketoacidosis, which is best achieved through insulin therapy and fluid resuscitation.
Choice C rationale:
Avoiding discussions about blood glucose monitoring is not recommended.
Blood glucose monitoring is a critical aspect of DKA management.
It helps healthcare providers determine the effectiveness of insulin therapy and the patient's response to treatment.
Avoiding these discussions would be detrimental to the patient's care.
Choice D rationale:
Neglecting to mention the risk of cerebral edema is not appropriate in DKA education.
Cerebral edema is a severe complication of DKA that can be life-threatening.
It is crucial to inform the patient and their family about this risk so they can seek prompt medical attention if symptoms occur.
Neglecting to mention this risk could lead to delayed treatment and potential harm to the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is C
Explanation
Choice A rationale:
"Children with diabetes should never use insulin pumps.”.
This statement is not accurate.
Insulin pumps can be a valuable tool in the management of diabetes in children.
Insulin pumps provide continuous subcutaneous insulin delivery, offering a more flexible and precise way to administer insulin.
They can be particularly beneficial for children who require multiple daily injections or have difficulty with insulin injections.
Choice B rationale:
"Insulin therapy is not a significant part of diabetes management in children.”.
Insulin therapy is a significant and often essential part of diabetes management in children, especially for those with type 1 diabetes.
Children with type 1 diabetes do not produce insulin and require lifelong insulin therapy to survive.
It plays a crucial role in maintaining glycemic control and preventing complications.
Choice C rationale:
"There are different types of insulin, including rapid-acting and long-acting.”.
This statement is accurate.
Children with diabetes may require different types of insulin to manage their blood sugar effectively.
Rapid-acting insulin is used to cover meals and correct high blood sugar levels, while long-acting insulin provides basal insulin to keep blood sugar stable between meals and overnight.
Understanding the different types of insulin and their respective roles is essential for proper diabetes management.
Choice D rationale:
"Children with diabetes only need short-acting insulin.”.
This statement is not accurate.
While short-acting insulin (rapid-acting) is necessary for mealtime coverage, it is not the only type of insulin children may need.
Long-acting insulin is crucial for providing a basal level of insulin throughout the day and night.
Children with diabetes often require both short-acting and long-acting insulin to achieve optimal glycemic control.
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