Difficulty: Medium
Average Score: 74%
Simulated
Passage / Scenario
A school-age child who has type 1 diabetes mellitus and his parentsA nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?
Correct answer
D
Rationale
The correct answer is D: Test the urine for ketones. This instruction is crucial for managing type 1 diabetes as ketones in the urine can indicate diabetic ketoacidosis, a serious complication. Testing for ketones helps monitor the child's condition and allows for timely intervention if necessary. It is important to explain to the child and parents how to perform this test accurately and when to seek medical help based on the results.
Other choices are incorrect:
A: Withholding insulin when feeling nauseous can lead to uncontrolled blood sugar levels.
B: Notifying the provider only when blood glucose is out of range may result in missed opportunities for preventive care.
C: Limiting fluid intake during meal times can disrupt blood sugar regulation and hydration.
In summary, testing urine for ketones is essential for diabetes management, while the other options may lead to adverse outcomes.
Other choices are incorrect:
A: Withholding insulin when feeling nauseous can lead to uncontrolled blood sugar levels.
B: Notifying the provider only when blood glucose is out of range may result in missed opportunities for preventive care.
C: Limiting fluid intake during meal times can disrupt blood sugar regulation and hydration.
In summary, testing urine for ketones is essential for diabetes management, while the other options may lead to adverse outcomes.