Health Promotion and Maintenance
43. A child with type 1 diabetes is being prepared for discharge from a hospital. What should a nurse include as part of the teaching regarding diabetes care?
Health Promotion and Maintenance
43. A child with type 1 diabetes is being prepared for discharge from a hospital. What should a nurse include as part of the teaching regarding diabetes care?
. Expect hypoglycemic episodes to always occur after meals.
. Insulin dosage may need to be decreased during sports activities.
. The child should not self-administer injections until the teen years.
. Insulin should never be administered during febrile illnesses.
Test-Taking Tip
Be wary of answer options that contain extreme terms such as "never" or "always."
Content Area: Child Health, Endocrine; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Illness Management
Health Promotion and Maintenance
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Answer 1 is incorrect because hypoglycemia is more likely to occur just prior to meals. Answer 2 is correct since the body becomes more sensitive to insulin with physical activity, and it may be necessary to reduce the child's insulin dosage with sports participation. Answer 3 is incorrect because self-administration of insulin depends on developmental readiness rather than age. Children as young as early school age may be capable of giving injections with caregiver supervision. Answer 4 is incorrect because insulin is not contraindicated during febrile illnesses. The dosage of insulin may increase, decrease, or stay the same depending on the child's needs.