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A nurse is reviewing a care plan for a child with DKA.
The care plan includes interventions such as fluid resuscitation, electrolyte replacement, insulin therapy, and monitoring for complications.
The nurse understands that these interventions are aimed at:

Correcting fluid and electrolyte imbalances.

Reducing hyperglycemia.

Preventing complications.

All of these.

Answer and Explanation

The Correct Answer is D

All of these.

Choice A rationale:

Correcting fluid and electrolyte imbalances is an essential part of the care plan for a child with DKA.

This is because DKA often leads to severe dehydration and electrolyte imbalances due to excessive urination.

Restoring fluid and electrolyte balance is crucial to stabilize the patient's condition.

Choice B rationale:

Reducing hyperglycemia is a critical goal in the care of a child with DKA.

Elevated blood glucose levels are a hallmark of DKA, and addressing hyperglycemia is achieved through insulin therapy.

Reducing hyperglycemia helps to stop the production of ketones and normalize metabolic processes.

Choice C rationale:

Preventing complications is an important aspect of managing DKA.

Complications such as cerebral edema and organ dysfunction can occur if DKA is not promptly and effectively treated.

Therefore, monitoring for and taking steps to prevent complications is a fundamental component of the care plan.

Choice D rationale:

The correct answer is "All of these" because the care plan for a child with DKA includes interventions that address fluid and electrolyte imbalances, hyperglycemia, and complications.

These interventions work together to stabilize the patient's condition and prevent further deterioration.

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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.

A. "You need to drink less water to control your urination.”.. B. "These symptoms are because your body has trouble using glucose properly.”.. C. "You should eat more to satisfy your increased hunger.”.. D. "This weight loss is due to a decrease in appetite.”..

Correct Answer is B

Explanation

Choice A rationale:

Telling the child to drink less water to control urination is not an appropriate response.

Excessive thirst and increased urination are common symptoms of diabetes, and they occur because the body is trying to get rid of excess glucose through urine.

Dehydration is a concern in diabetes, so advising the child to drink less water is not advisable.

Choice B rationale:

Explaining to the child that these symptoms are due to their body having trouble using glucose properly is an accurate and appropriate response.

Excessive thirst and increased urination are classic symptoms of diabetes mellitus.

When the body cannot use glucose effectively, it tries to eliminate excess glucose through urine, leading to increased urination and subsequent thirst to combat dehydration.

Choice C rationale:

Suggesting that the child should eat more to satisfy their increased hunger is not an appropriate response.

Increased hunger can also be a symptom of diabetes, and advising the child to eat more without addressing the underlying issue of glucose regulation is not helpful.

Choice D rationale:

Weight loss is often an early symptom of diabetes, and it occurs because the body is unable to properly utilize glucose for energy.

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A nurse is reviewing a care plan for a child with DKA. The care plan includes interventions such as fluid resuscitation, electrolyte replacement, insulin therapy, and monitoring for complications. The nurse understands that these interventions are aimed at:

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Naxlex Comprehensive Predictor Exams

A client with DKA is being treated in a healthcare facility.The client asks the nurse about the reason for frequent monitoring of blood glucose and electrolyte levels.Which of the following responses should the nurse give?

Correct Answer is B

Explanation

A nurse is assessing a child with diabetes mellitus.The child complains of excessive thirst and increased urination.Which statement by the nurse is appropriate for addressing the child's concern?

Correct Answer is B

Explanation

A parent is worried about their child's risk of developing diabetes and asks the nurse about the role of viral infections in diabetes mellitus in children.Which statement by the nurse is accurate in explaining the role of viral infections in the development of diabetes?

A client with a family history of diabetes is concerned about the possibility of developing the condition.Which factor mentioned in the text contributes to an increased risk of diabetes mellitus in children with a family history of the disease?

(Select all that apply):.A nurse is assessing a child with diabetes mellitus.Which components should be included in the psychosocial assessment of the child?

(Select all that apply): A nurse is discussing dietary management with a child and their family.Which dietary principles should the nurse recommend for glycemic control in children with diabetes?

A nurse is reviewing a care plan for a child with DKA. The care plan includes interventions such as fluid resuscitation, electrolyte replacement, insulin therapy, and monitoring for complications. The nurse understands that these interventions are aimed at:

A nurse is assessing a child with diabetes mellitus.The child has complained of increased hunger despite increased appetite.How should the nurse respond to address the child's concern?

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?

A nurse is educating a group of parents about the etiology of diabetes mellitus in children.Which statement by the nurse accurately explains one of the causes of diabetes mellitus in children?

A nurse is reviewing a care plan for a child with DKA.
The care plan includes interventions such as fluid resuscitation, electrolyte replacement, insulin therapy, and monitoring for complications.
The nurse understands that these interventions are aimed at: