The nurse is talking to the parents of a child newly diagnosed with diabetes mellitus. The nurse determines that the parents have a proper understanding of preventing and managing hypogly-cemia if the parents state that they will:
1. Administer glucagon immediately if shakiness is felt.
2. Give the child 8 oz of diet cola at the first sign of weakness.
3. Report to the emergency department if the blood glucose level is 65 mg/dL.
4. Carry a glucose source when leaving home in case a hypoglycemic reaction oc-curs.
4
Rationale: The child or parents should carry a source of glucose so it is readily available in the event of a hypoglycemic reaction. LifeSavers or hard candies will provide a source of glucose. A diet carbonated beverage does not meet this need. If the blood glucose level is 65 mg/dL, a source of glucose may be needed, but it is unnecessary to report to the emergency department. Glucagon is used for an unconscious client or if a client experiencing a hypoglycemic reaction is unable to swallow.
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