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    Ati Rn Paediatrics Nursing 2023 Proctored Exam

    A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following recommendations should the nurse make?

    Explanation & Rationale

    A. Follow up with physical therapy: Physical therapy is not a routine recommendation for newly diagnosed type 1 diabetes unless there are concurrent musculoskeletal or mobility issues. While exercise is important for blood glucose management, referral to a physical therapist is not required at diagnosis. B. Store opened vials of insulin for up to 60 days: Most insulin vials are stable for 28–30 days once opened, depending on the type. Storing insulin beyond the recommended period can reduce potency and lead to poor glycemic control. C. Consult with a nutritionist: Nutritional management is a cornerstone of type 1 diabetes care. A nutritionist can provide individualized meal planning, carbohydrate counting education, and guidance on balancing insulin dosing with food intake, which is critical for achieving glycemic control and preventing complications. D. Monitor capillary blood glucose daily: Daily monitoring of blood glucose is essential, but in adolescents with type 1 diabetes, multiple checks per day are usually recommended to properly manage insulin dosing and respond to fluctuations. Advising consultation with a nutritionist addresses foundational management more comprehensively at diagnosis.

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