A nurse is reviewing the medical history of a child suspected of having Diabetic Ketoacidosis (DKA).
The nurse notes that the child has had previous episodes of DKA, a diagnosis of diabetes, and recent changes in medication.
The nurse also notes recent illnesses and infections that may have contributed to the development of DKA.
Which of the following statements should the nurse make to the child’s parents?
“Your child’s condition is stable and there is no need for concern.”.
“The recent changes in your child’s medication may have contributed to this situation.”.
“Your child’s diabetes diagnosis is incorrect.”.
“Your child has not been taking their medication correctly.”
The Correct Answer is B
Choice A rationale:
The nurse should not tell the child's parents that their child's condition is stable and that there is no need for concern.
This is not an accurate assessment, especially when there are recent changes in medication, a diagnosis of diabetes, and a history of previous episodes of Diabetic Ketoacidosis (DKA).
It is important to address the potential issues that might have contributed to the development of DKA.
Choice B rationale:
This is The correct choice.
The nurse should inform the child's parents that the recent changes in their child's medication may have contributed to the situation.
Medication changes can affect blood glucose levels and, in some cases, lead to DKA.
It's essential to consider all possible factors contributing to the condition.
Choice C rationale:
Telling the child's parents that their child's diabetes diagnosis is incorrect is not appropriate, as there is already a confirmed diagnosis of diabetes.
DKA is a complication of diabetes, and addressing the current situation is more important than questioning the diagnosis itself.
Choice D rationale:
Accusing the child of not taking their medication correctly without proper evidence is not a good approach.
It's important to investigate the medication changes and other factors before making such an assumption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale:
Genetic factors play a significant role in the development of diabetes mellitus, especially when there is a family history of the disease.
People with a family history of diabetes are at a higher risk of developing the condition due to the inheritance of certain genes that predispose them to diabetes.
These genetic factors can influence insulin production, insulin sensitivity, and glucose regulation.
The genetic component of diabetes is well-established, and research has identified specific genes associated with both type 1 and type 2 diabetes.
It's important to educate the client about the importance of monitoring their blood sugar levels and adopting a healthy lifestyle to reduce their risk, given their family history.
Choice B rationale:
Autoimmune destruction of beta cells is more associated with type 1 diabetes rather than a family history of the disease.
Type 1 diabetes is an autoimmune condition in which the body's immune system mistakenly targets and destroys the insulin-producing beta cells in the pancreas.
While this is a critical factor in type 1 diabetes, it is not typically linked to family history as a primary risk factor.
Choice C rationale:
Insufficient insulin is a consequence of diabetes rather than a risk factor.
In diabetes, the problem is usually related to the body's inability to produce enough insulin (in type 1 diabetes) or effectively use the insulin produced (in type 2 diabetes).
Insufficient insulin is a result of the disease, not a contributing factor related to family history.
Choice D rationale:
Lack of physical activity can be a risk factor for diabetes, especially type 2 diabetes, but it is not the primary factor associated with a family history of the disease.
Lack of physical activity may contribute to the development of diabetes in individuals who are already at risk due to genetic factors or other lifestyle-related factors.
It's essential to promote physical activity and a healthy lifestyle, but this is not the primary risk factor in the context of family history.
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