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    Ati rn pediatric nursing 2023 proctored exam

    A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness. Which of the following statements by the parent indicates an understanding of the teaching?

    Explanation & Rationale

    A. "I will monitor my child's blood glucose levels every 8 hours.": During illness, blood glucose can fluctuate rapidly due to stress hormones and changes in intake. Monitoring every 8 hours is not frequent enough; checks should be done every 3–4 hours or as recommended. B. "I will increase the amount of fluids I offer my child.": Illness increases the risk of dehydration and ketoacidosis in children with diabetes. Encouraging extra fluids helps prevent dehydration and assists in flushing out ketones, making this an appropriate action. C. "I will offer my child 20 grams of carbohydrates every 2 hours.": While carbohydrate intake is important when sick, strict scheduled dosing like this is not necessary unless blood glucose is low. Nutrition should be tailored to blood sugar levels and the child’s tolerance. D. "I will withhold my child's dose of insulin when his appetite is poor.": Insulin should not be withheld during illness, even if the child eats less. The body may require the same or increased insulin due to stress hormones, and skipping doses raises the risk of hyperglycemia.

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