A nurse is providing teaching to a school-age client who has a new diagnosis of type 1 diabetes mellitus. Which statement by the client indicates an understanding of the teaching?
"I will reduce my insulin dose if I am sick."
"I will eat a snack half an hour before playing soccer."
"I will count the amount of fat calories I consume to manage my diabetes."
"I will check my blood glucose level after meals."
The Correct Answer is B
Rationale:
A. Insulin doses should not be reduced when sick, as illness often increases blood glucose levels.
B. Eating a snack before physical activity helps prevent hypoglycemia, demonstrating a good understanding of how to manage blood glucose levels during exercise.
C. Counting carbohydrates, not fat calories, is essential for managing blood glucose levels in diabetes.
D. Blood glucose levels are typically checked before meals and at other key times, rather than only after meals.
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Correct Answer is B
Explanation
Rationale:
A. Regular testing of urine for glucose is not specific to nephrotic syndrome and is more relevant for managing diabetes.
B. Weighing the child on the same scale each day is essential for monitoring fluid status and detecting early signs of fluid retention or loss, which are critical in managing nephrotic syndrome.
C. Increasing oral fluid intake may not be recommended due to the risk of fluid retention and edema, which are common in nephrotic syndrome.
D. While monitoring potassium levels is necessary when on diuretics like furosemide, a low-potassium diet is not routinely required unless hyperkalemia is present.
Correct Answer is B
Explanation
Rationale:
A. While newborns need to feed frequently, particularly breastfed infants, parents do not need to wake their baby for every feeding unless advised by their healthcare provider due to specific concerns like low birth weight.
B. After birth, the newborn receives initial vaccinations, such as the hepatitis B vaccine. The next set of vaccinations is typically administered at the 1 or 2-month check-up, so no additional immunizations are needed immediately after discharge.
C. Full head control is generally achieved by around 4 months of age, not 1 month.
D. Babies typically triple their birth weight by around 12 months of age, not by 4-6 months.