The nurse is doing discharge teaching with the parents of a newly diagnosed type I diabetic. The nurse knows that the mother needs more teaching when she states:
1. "I will give my child insulin if she experiences shakiness, pallor, and sweating."
2. "I will give my child a snack before she practices afterschool soccer."
3. "I will bring my child to the doctor every three months to have her HbA1c checked."
4. "I understand my child might be experiencing hyperglycemia if she has thirst and flushed skin."
1
Rationale:
1. A child with shakiness, pallor, and sweating is exhibiting symptoms of hypoglycemia. Giving insulin would make this situation worse.
2. The child needs a snack before practicing soccer to prevent hypoglycemia.
3. Diabetic children need to have an HbA1c done every three months.
4. A diabetic child with hyperglycemia might experience thirst and flushed skin.
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