A nurse is reinforcing preoperative teaching with an adolescent client who is scheduled for a surgical repair of scoliosis. Which of the following statements by the client indicates effectiveness of the teaching?

Rationale:

A) Clotrimazole troches do not require refrigeration after each use.

B) Clotrimazole troches are meant to be dissolved slowly in the mouth over a period of time, typically around 15 to 30 minutes, for optimal effectiveness.

C) Crushing the troche and mixing it with applesauce may alter the medication's effectiveness and is not recommended.

D) White patches appearing in the mouth may indicate the persistence or worsening of oral candidiasis, and stopping the medication would be inappropriate without consulting a healthcare provider.

Rationale:

A) Increasing carbohydrate intake when sick can disrupt blood sugar control and should be done cautiously under the guidance of a healthcare provider.

B) Omitting the bedtime snack can lead to overnight hypoglycemia, especially in children with diabetes who are at risk for low blood sugar during the night.

C) While proteins are part of a balanced diet, the main focus of a child's meal plan with diabetes should be on balancing carbohydrates with proteins and fats for better blood sugar control.

D) Including a snack before physical activity helps prevent hypoglycemia during exercise by providing additional carbohydrates to fuel the activity.