Author Question: Which is the nurse's best response to the parents of a 10-year-old child newly diagnosed with ... (Read 74 times)

Zulu123 · **on:** Jun 27, 2018

Which is the nurse's best response to the parents of a 10-year-old child newly diagnosed with insulin-dependent diabetes mellitus (IDDM) who are concerned about the child's continued participation in soccer?

a. Consider the swim team as an alternative to soccer..
b. Encourage intellectual activity rather than participation in sports..
c. It is okay to play sports such as soccer when the weather is moderate..
d. Give the child an extra 15 to 30 grams of carbohydrate snack before soccer practice..

Question 2

Which is the priority concern in developing a teaching plan for the parents of a 15-month-old child?

a. Toilet training guidelines
b. Guidelines for weaning children from bottles
c. Instructions on preschool readiness
d. Instructions on a home safety assessment

ryhom · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Exercise lowers blood glucose levels. A snack with 15 to 30 grams of carbohydrates before exercise will decrease the risk of hypoglycemia. Soccer is an appropriate sport for a child with IDDM as long as the child prevents hypoglycemia by eating a snack. Participation in sports is not contraindicated for a child with IDDM. The child with IDDM may participate in sports activities regardless of climate.

Answer to Question 2

D
Accidents are the major cause of death in children, including deaths caused by ingestion of poisonous materials. Home and environmental safety assessments are priorities in this age group because of toddlers' increased mobility, which puts them at greater risk in an unsafe environment. Although it is appropriate to give parents of a 15-month-old child toilet training guidelines, the child is not usually ready for toilet training, so it is not the priority teaching intervention. Parents of a 15-month-old child should have been advised to begin weaning from the breast or bottle at 6 to 12 months of age. Educating a parent about preschool readiness is important and can occur later in the parents' educational process. The priority teaching intervention for the parents of a 15-month-old child is the importance of a safe environment.