(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?
Evaluate the child's emotional well-being.
Assess for signs of hyperglycemia, such as polyuria.
Monitor growth patterns and assess for any delays.
Obtain a detailed history, including family history of diabetes.
Regularly monitor blood glucose levels to assess glycemic control.
Correct Answer : A,D,E
A. "Evaluate the child's emotional well-being.”.
D. "Obtain a detailed history, including family history of diabetes.”.
E. "Regularly monitor blood glucose levels to assess glycemic control.”.
Choice A rationale:
Evaluate the child's emotional well-being.
Assessing the emotional well-being of a child with diabetes is crucial because living with a chronic condition can have a significant impact on a child's mental health.
Children may experience stress, anxiety, and other emotional challenges related to their condition.
This assessment helps in providing comprehensive care and support to the child.
Choice B rationale:
Assess for signs of hyperglycemia, such as polyuria.
While assessing for signs of hyperglycemia, such as polyuria, is important in managing diabetes, it is primarily a physical assessment and not a psychosocial assessment.
It focuses on the physiological aspects of the condition.
Choice C rationale:
Monitor growth patterns and assess for any delays.
Monitoring growth patterns and assessing for delays in a child's development is important but is also primarily a physical assessment.
It is not a direct component of the psychosocial assessment, although it may indirectly impact a child's emotional well-being.
Choice D rationale:
Obtain a detailed history, including family history of diabetes.
Obtaining a detailed history, including a family history of diabetes, is a crucial part of the assessment.
Family history can be a significant risk factor for the development of diabetes in a child.
Understanding the family history helps in identifying potential genetic predispositions.
Choice E rationale:
Regularly monitor blood glucose levels to assess glycemic control.
Regularly monitoring blood glucose levels is essential in managing diabetes.
While it is a key aspect of diabetes care, it primarily falls under the category of physiological monitoring rather than a direct component of psychosocial assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Education on insulin therapy is a fundamental aspect of DKA management.
Insulin is a crucial component in treating DKA as it helps lower elevated blood glucose levels and corrects the ketosis and acidosis.
It is essential for the patient and their family to understand how insulin works, how to administer it, and when to administer it.
Proper insulin therapy can prevent further complications and guide the management of DKA.
Choice B rationale:
Focusing solely on dietary recommendations is not appropriate in the initial management of DKA.
While dietary management is important for long-term diabetes care, it is not the primary focus during the acute phase of DKA.
The priority is to address the high blood glucose levels and ketoacidosis, which is best achieved through insulin therapy and fluid resuscitation.
Choice C rationale:
Avoiding discussions about blood glucose monitoring is not recommended.
Blood glucose monitoring is a critical aspect of DKA management.
It helps healthcare providers determine the effectiveness of insulin therapy and the patient's response to treatment.
Avoiding these discussions would be detrimental to the patient's care.
Choice D rationale:
Neglecting to mention the risk of cerebral edema is not appropriate in DKA education.
Cerebral edema is a severe complication of DKA that can be life-threatening.
It is crucial to inform the patient and their family about this risk so they can seek prompt medical attention if symptoms occur.
Neglecting to mention this risk could lead to delayed treatment and potential harm to the patient.
Correct Answer is B
Explanation
Hyperglycemia.
Choice A rationale:
Hypoglycemia A blood glucose level of 250 mg/dL is not indicative of hypoglycemia.
Hypoglycemia is defined as low blood glucose levels typically below 70 mg/dL.
In DKA, the primary concern is hyperglycemia, and blood glucose levels are significantly higher than normal.
Choice C rationale:
Normoglycemia A blood glucose level of 250 mg/dL is above the normal range, which typically falls between 70 and 100 mg/dL.
Therefore, it does not indicate normoglycemia.
Hyperglycemia is the characteristic feature of DKA.
Choice D rationale:
Ketonuria While ketonuria is often present in DKA, the finding of a blood glucose level of 250 mg/dL primarily indicates hyperglycemia.
Ketonuria is assessed through urinalysis and relates to the presence of ketones in the urine, which is a common feature of DKA along with hyperglycemia.
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