Diabetes Mellitus in Children
Diabetes Mellitus in Children ( 31 Questions)
A nurse is reviewing the medical history of a child suspected of having Diabetic Ketoacidosis (DKA).
The nurse notes that the child has had previous episodes of DKA, a diagnosis of diabetes, and recent changes in medication.
The nurse also notes recent illnesses and infections that may have contributed to the development of DKA.
Which of the following statements should the nurse make to the child’s parents?
The nurse should not tell the child's parents that their child's condition is stable and that there is no need for concern. This is not an accurate assessment, especially when there are recent changes in medication, a diagnosis of diabetes, and a history of previous episodes of Diabetic Ketoacidosis (DKA). It is important to address the potential issues that might have contributed to the development of DKA.
This is The correct choice. The nurse should inform the child's parents that the recent changes in their child's medication may have contributed to the situation. Medication changes can affect blood glucose levels and, in some cases, lead to DKA. It's essential to consider all possible factors contributing to the condition.
Telling the child's parents that their child's diabetes diagnosis is incorrect is not appropriate, as there is already a confirmed diagnosis of diabetes. DKA is a complication of diabetes, and addressing the current situation is more important than questioning the diagnosis itself.
Accusing the child of not taking their medication correctly without proper evidence is not a good approach. It's important to investigate the medication changes and other factors before making such an assumption.
Choice A rationale:
The nurse should not tell the child's parents that their child's condition is stable and that there is no need for concern.
This is not an accurate assessment, especially when there are recent changes in medication, a diagnosis of diabetes, and a history of previous episodes of Diabetic Ketoacidosis (DKA).
It is important to address the potential issues that might have contributed to the development of DKA.
Choice B rationale:
This is The correct choice.
The nurse should inform the child's parents that the recent changes in their child's medication may have contributed to the situation.
Medication changes can affect blood glucose levels and, in some cases, lead to DKA.
It's essential to consider all possible factors contributing to the condition.
Choice C rationale:
Telling the child's parents that their child's diabetes diagnosis is incorrect is not appropriate, as there is already a confirmed diagnosis of diabetes.
DKA is a complication of diabetes, and addressing the current situation is more important than questioning the diagnosis itself.
Choice D rationale:
Accusing the child of not taking their medication correctly without proper evidence is not a good approach.
It's important to investigate the medication changes and other factors before making such an assumption.