The nurse is evaluating care provided to a school-age client recently discharged from the hospital with a new diagnosis of type 1 diabetes mellitus. Which observations indicate that care outcomes have been achieved?

Select all that apply.
A) The client is documenting blood glucose readings and associated insulin dosages in a notebook next to the glucometer.
B) The client spends attends school and completes homework before bedtime.
C) The client correctly demonstrates drawing up and administering daily insulin dose.
D) The client has a glucagon kit in school backpack and explains how it should be used.
E) The client watches brothers play Little League baseball on the weekends.


Answer: A, C, D

Evidence that care provided to a school-age child with type 1 diabetes mellitus has been effective include documentation of blood glucose readings with associated insulin dosages, demonstrating the correct technique to draw and self-inject daily insulin dosages, and having an emergency glucagon kit available for use if necessary. Attending school, doing homework and watching family members participate in sports are not meeting the client's needs for physical activity and would indicate that care has not been effective.

Nursing

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