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 D

Explanation

Choice A reason: IV fluid replacement in DKA is typically isotonic, not hypertonic, to avoid rapid changes in osmolality.
Choice B reason: While monitoring for cardiac arrest is important, it is not the primary intervention; DKA often presents with low potassium levels that rise with treatment.
Choice C reason: Monitoring for hypertension is important, but the primary concern in DKA is managing the acidosis and hyperglycemia.
Choice D reason: This is the correct choice. Administering insulin is a key component of treating DKA to reduce blood glucose levels and reverse ketosis. NPH insulin is not typically used in the initial management of DKA; rapid-acting insulin is preferred. However, if NPH is mentioned in the context provided, it would be important to clarify the treatment protocol.

A. Puts the child at risk for developing Rheumatoid Arthritis B. Causes permanent nerve damage C. May disrupt the growth of the affected bone D. Prevents any further growth of that bone

Correct Answer is C

Explanation

Choice A reason: Fracturing a bone through the epiphyseal plate does not put a child at risk for developing Rheumatoid Arthritis, which is an autoimmune condition unrelated to such injuries.

Choice B reason: Permanent nerve damage is not a typical consequence of fracturing the epiphyseal plate, as this injury primarily affects bone growth.

Choice C reason: The epiphyseal plate, or growth plate, is responsible for the longitudinal growth of bones in children and adolescents. Damage to this area can disrupt normal bone growth.

Choice D reason: While severe damage to the epiphyseal plate can potentially halt growth in that bone, it is more common for the growth to be disrupted rather than completely prevented. The extent of the impact depends on the severity of the injury.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is of primary importance for a child who is admitted to the PICU for DKA (diabetic ketoacidosis)?

Correct Answer is D

Explanation

What is the likely result of a child fracturing a bone through a portion of the epiphyseal plate?

Correct Answer is C

Explanation

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