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 A rationale:
Frequent monitoring is not primarily done to adjust the diet plan.
While monitoring can provide information about the patient's nutritional needs, the primary purpose of monitoring in DKA is to assess the effectiveness of insulin therapy and to guide electrolyte replacement.
Choice B rationale:
Monitoring blood glucose and electrolyte levels helps guide insulin and electrolyte replacement therapy in DKA.
It allows healthcare providers to make necessary adjustments in insulin dosing and electrolyte replacement to ensure the patient's safety and a successful recovery.
Choice C rationale:
Frequent monitoring is not primarily aimed at checking for allergic reactions to insulin.
Allergic reactions to insulin are relatively rare, and monitoring is mainly done to assess treatment effectiveness and the patient's response to therapy.
Choice D rationale:
Monitoring is not a standard procedure for all patients regardless of their condition.
It is essential in DKA management, but it is not universally applicable to all patients.
Monitoring is performed based on the patient's specific condition and treatment needs.
Correct Answer is B
Explanation
Potassium replacement is done to prevent hypokalemia, which is common in DKA.
Choice A rationale:
Potassium replacement is indeed necessary in DKA treatment.
This choice is incorrect because DKA often leads to hypokalemia (low potassium levels).
Potassium is an essential electrolyte for various bodily functions, including proper heart function, and low levels can be life-threatening.
Therefore, potassium replacement is a vital part of DKA treatment.
Choice B rationale:
The primary reason for potassium replacement in DKA is to prevent hypokalemia.
As mentioned earlier, DKA leads to excessive urination, which results in the loss of potassium and other electrolytes.
Hypokalemia can lead to cardiac arrhythmias and muscle weakness.
Therefore, replenishing potassium is crucial to maintaining normal physiological functions.
Choice C rationale:
Potassium replacement is not done to treat hyperkalemia in DKA.
DKA typically leads to hypokalemia, not hyperkalemia.
Hyperkalemia, or high potassium levels, is a less common complication in DKA.
Treating hyperkalemia may involve different interventions, but it is not the primary reason for potassium replacement in DKA.
Choice D rationale:
Potassium replacement is not done solely based on the client's request.
It is a medical decision made by healthcare providers based on clinical assessment and laboratory values.
Ignoring potassium replacement in DKA could lead to severe complications, so it is not a matter of personal preference.
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