The nurse is finalizing a plan of care for a school-age client ...

[Engineer]

The nurse is finalizing a plan of care for a school-age client newly diagnosed with type 1 diabetes mellitus. On which areas should the plan focus to achieve the maximum outcomes for this client?
 
  Select all that apply.
  A) Ways to minimize the number of school days missed
  B) Identification and referral to community resources
  C) Physical activities that limit exposure to injuries
  D) Self-management of glucose monitoring and medications
  E) Signs and symptoms of hypoglycemia and actions to take

Question 2

A multidisciplinary conference has concluded that focused on the care needs of an older school-age client diagnosed with type 2 diabetes mellitus. On which areas should the team focus care to improve this client's long-term prognosis?
 
  Select all that apply.
  A) Weaning off oral medications
  B) Food intake based on age, sex, and physical activity
  C) Obtaining adequate rest and sleep
  D) Physical activity to be at least 30-60 minutes per day most days of the week
  E) Family participation in the lifestyle change

[bigcheese9]

Answer to Question 1

Answer: B, D, E

Planning for care of children with diabetes depends on the assessment findings. Planning should begin at the time of diagnosis and move forward to prepare the child and the family for self-management of glucose monitoring and medications, signs and symptoms of hypoglycemia, and actions to take. Before discharge, the child and the family should be linked to the resources in the community that will support care of the child with diabetes. Minimizing the number of school days missed and activities that limit exposure to injuries are not immediate priorities for this client's plan.

Answer to Question 2

Answer: B, D, E

The child with type 2 diabetes mellitus will most likely be treated with oral hypoglycemic agents. Weaning off of these medications will not improve the client's long-term prognosis. The child with type 2 diabetes mellitus does not have a need for adequate rest and sleep to improve the long-term prognosis. Plans to improve the client's long-term prognosis should focus on food intake that is based on the client's age, sex, and physical activity, obtaining the required physical activity that is recommended for most days of the week, and family support to comply with lifestyle changes that the client needs.