When managing sick days for a child with Type 1 diabetes mellitus, which of the following should be included in the teaching?

Limit water intake to prevent hyponatremia.

Check blood glucose every 8-12 hours.

Drink 8oz of apple or orange juice every hour.

Always give scheduled insulin even if the child has no appetite.

Answer and Explanation

The Correct Answer is D

Choice A reason: Limiting water intake is not recommended as adequate hydration is important, especially when sick.
Choice B reason: Checking blood glucose every 8-12 hours is not frequent enough; it should be monitored more often during illness.
Choice C reason: Drinking juice every hour is not necessary and could lead to hyperglycemia if not balanced with insulin.
Choice D reason: This is the correct choice. It is crucial to continue administering insulin as prescribed to manage blood glucose levels, even if the child is not eating as much.

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Correct Answer is C

Explanation

Choice A reason: Feeding the toddler is a basic need and should be ensured, but it does not specifically address developmental appropriateness or encourage independence.

Choice B reason: Dressing the toddler is also a basic need, but it does not actively involve the toddler in the process, which is important for development.

Choice C reason: Offering the toddler a choice of clothing allows the child to make decisions, fostering a sense of autonomy and contributing to developmental milestones.

Choice D reason: Asking the toddler if he would like to take his medicine is important for involving the child in their care; however, it does not offer the same level of developmental engagement as making choices about personal preferences like clothing.

A. A 5-year-old who is unable to zip his own jacket. B. A 2-year-old who cannot recite her phone number. C. A 6-year-old who is unable to sit still for a short story. D. A 2-year-old who is unable to cut with scissors. E. An 18-month-old toddler who is unable to phrase sentences.

Correct Answer is C

Explanation

Choice A reason: This choice is incorrect. It is not unusual for a 5-year-old to have difficulty with zippers.
Choice B reason: This choice is incorrect. Reciting a phone number is not expected of a 2-year-old.
Choice C reason: This is one of the correct choices. A 6-year-old should be able to sit still for a short story, and difficulty doing so may indicate a developmental delay.
Choice D reason: This choice is incorrect. A 2-year-old typically does not have the fine motor skills to cut with scissors.
Choice E reason: This is one of the correct choices. An 18-month-old should be starting to phrase simple sentences, and the inability to do so may indicate a developmental delay.

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When managing sick days for a child with Type 1 diabetes mellitus, which of the following should be included in the teaching?

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