A nurse is reinforcing teaching with the parent of a child who is newly diagnosed with diabetes mellitus. Which of the following guidelines should the nurse include?
"Your child should increase carbohydrate intake when sick."
"You should omit your child's bedtime snack."
"Your child's meal plan should consist mainly of proteins."
"Your child's meal plan should include a snack before physical activity."
The Correct Answer is D
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.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A) Forcing the child to drink fluids when they have a fever is not recommended; instead, fluids should be offered frequently to prevent dehydration, but the child should not be forced to drink.
B) Using a dehumidifier in the child's room may help control humidity levels, but it is not specific to treating a bacterial upper respiratory infection.
C) Keeping the child's towels separate from those of the rest of the family helps prevent the spread of infection.
D) Ensuring the child eats three meals a day, even with reduced appetite, is important for maintaining adequate nutrition and energy levels during illness.
Correct Answer is C
Explanation
Rationale:
A) It's important to burp a baby mid-feed and after the feed to prevent discomfort, especially for a baby with a cleft lip.
B) Using a wide-based nipple may be more appropriate for a baby with a cleft lip to help with proper latch and feeding.
C) Holding the baby in an upright position during feedings can help prevent milk from entering the nasal passages, which is important for babies with cleft lip.
D) Encouraging the baby to maintain relaxed cheeks during feeding may not be applicable for a baby with a cleft lip, as proper positioning and latch are more critical.
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