A nurse is educating a parent about DKA and how to prevent it in their child with diabetes.
The nurse tells the parent that the child should eat regular meals and snacks throughout the day.
Which of the following statements by the parent demonstrates that they understand the nurse's teaching?
"I will make sure that my child eats three large meals per day.”
"I will give my child a snack every two hours, even if they are not hungry.”
"I will offer my child a variety of healthy foods and drinks throughout the day.”
"I will avoid giving my child sugary foods and drinks, as these can trigger DKA.”
The Correct Answer is C
Choice A rationale:
Eating three large meals per day may not be the best approach for managing blood sugar levels in a child with diabetes.
Spacing meals and snacks throughout the day can help stabilize blood glucose levels and prevent large fluctuations.
It's important to maintain a balanced eating pattern.
Choice B rationale:
Providing snacks every two hours, even if the child is not hungry, may lead to overconsumption and could potentially affect blood sugar levels.
Regular, balanced snacks are essential, but they should be based on the child's hunger and in accordance with the diabetes management plan.
Choice C rationale:
This statement demonstrates a good understanding of the nurse's teaching.
Offering a variety of healthy foods and drinks throughout the day helps maintain stable blood sugar levels and provides necessary nutrients.
It aligns with the principles of diabetes management.
Choice D rationale:
Avoiding sugary foods and drinks is important for DKA prevention, but this statement doesn't directly address the need for regular meals and snacks, which is the main focus of the nurse's teaching.
While avoiding sugary items is crucial, overall dietary balance is essential.
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Related Questions
Correct Answer is B
Explanation
Choice B rationale:
Elevating the head of the bed 30 degrees is the most appropriate initial intervention for a child with DKA experiencing cerebral edema.
Cerebral edema is a serious complication of DKA, and it can lead to increased intracranial pressure.
Elevating the head of the bed helps to reduce intracranial pressure by promoting venous drainage from the brain.
This intervention should be initiated promptly to help alleviate the symptoms and prevent further complications.
Administering mannitol (choice A) or oxygen (choice C) can be considered later, but elevating the head of the bed is the priority.
Monitoring vital signs (choice D) is important but not the first action in addressing elevated intracranial pressure.
Correct Answer is C
Explanation
Choice A rationale:
"You should avoid any physical activity to keep your blood glucose levels stable.”.
This statement is incorrect.
Physical activity is essential for managing diabetes as it helps lower blood glucose levels.
Advising the child to avoid physical activity is not appropriate.
Choice B rationale:
"Insulin injections are not necessary; you can manage diabetes with diet alone.”.
This statement is misleading and potentially dangerous.
Insulin is a crucial treatment for many individuals with diabetes, and suggesting that it is not necessary can have severe consequences.
Diet alone is not sufficient to manage diabetes for most individuals.
Choice C rationale:
"Regular blood glucose monitoring is important to assess glycemic control.”.
This is The correct response.
Regular blood glucose monitoring is crucial in diabetes management.
It allows the child and their family to assess how well they are managing blood sugar levels and make necessary adjustments to their treatment plan.
Choice D rationale:
"Eating as much sugar as you want won't affect your diabetes.”.
This statement is false.
Consuming excessive sugar can significantly impact blood glucose levels, and individuals with diabetes should be mindful of their sugar intake.
Providing this information is essential for the child and their family to make informed choices.
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