A nurse is discharging a child who has diabetes mellitus from a pediatric unit. What statement by the child indicates that he or she understands the discharge instructions?

Choice A reason: This statement by the child indicates a partial understanding of the discharge instructions, as it shows awareness of the importance of blood glucose monitoring for diabetes mellitus. However, the child may also need to check his or her blood sugar level at other times, such as before bedtime, before exercise, or when sick.

Choice B reason: This statement by the child indicates a need for further teaching, as it shows a misunderstanding of the proper technique for insulin administration for diabetes mellitus. The child should rotate the injection sites to prevent lipodystrophy, a condition that causes lumps or dents in the skin.

Choice C reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the importance of dietary management for diabetes mellitus. The child should follow a balanced and consistent carbohydrate diet that matches the insulin dose and activity level.

Choice D reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the signs and symptoms of hyperglycemia, a condition that occurs when the blood sugar level is too high and can lead to diabetic ketoacidosis, a serious complication of diabetes mellitus.

Choice A reason: This information should be included in the discharge plan and home care education, as it helps ensure safe and effective medication management for asthma.

Choice B reason: This information should be included in the discharge plan and home care education, as it helps monitor and control asthma symptoms and guide appropriate actions based on the severity of the condition.

Choice C reason: This information should be included in the discharge plan and home care education, as it helps prevent or reduce exposure to allergens or irritants that can trigger or worsen asthma symptoms.

Choice D reason: This information is not specific for the discharge plan and home care education for asthma, as it applies to all children regardless of their health condition.