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.”

Answer and Explanation

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.

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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.

A. "We'll administer 0.9% saline to restore intravascular volume.0.9% saline is commonly used for this purpose.” B. "Fluid resuscitation is not necessary in DKA management.” C. "We'll use insulin to correct fluid imbalances.” D. "Fluid resuscitation depends on the child's age, not dehydration.”

Correct Answer is A

Explanation

"We'll administer 0.9% saline to restore intravascular volume.”.

Choice A rationale:

The statement "We'll administer 0.9% saline to restore intravascular volume" is correct.

In the management of DKA, fluid resuscitation is a crucial initial step to restore intravascular volume.

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Naxlex Comprehensive Predictor Exams

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 nurse caring for a child with DKA is providing fluid resuscitation.Which statement about fluid resuscitation is correct?

Correct Answer is A

Explanation

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 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 client with DKA asks a nurse why potassium replacement is necessary during treatment.The nurse should explain that:.

A nurse is preparing an education session for staff nurses about the treatment and management of DKA in children. Which of the following points should be included in the session? (Select all that apply).

A client with DKA is experiencing hypokalemia.What should the nurse do regarding potassium replacement?

A nurse is teaching a child and their family about insulin therapy.What should the nurse emphasize regarding insulin types used in the management of diabetes in children?

A client recently diagnosed with diabetes mellitus asks the nurse about the pathophysiology of the condition.Which statement by the nurse accurately describes the pathophysiology of diabetes mellitus in children?