A 14-year-old client with type 1 diabetes is participating in a school sports event. The nurse provides education to the client about managing blood glucose levels during physical activity. Which statement by the client indicates a need for further teaching?

Correct Answer: C

Rationale: The correct answer is C. Skipping insulin dose when blood sugar is high before exercise can be harmful. It is essential to manage blood glucose levels carefully during physical activity, which may require adjustments to insulin doses but skipping doses is not recommended. It is crucial to maintain blood sugar levels within the target range to prevent complications during exercise.

Correct Answer: B

Rationale: The correct answer is B) Administer antiepileptic medication as prescribed. In a 12-year-old child with a history of epilepsy presenting after a prolonged seizure, the priority intervention is to stop the seizure activity promptly to prevent potential brain damage and further complications. Administering antiepileptic medication as prescribed is crucial in this situation to terminate the seizure and stabilize the child's condition. Option A) Administer oxygen may be important in some cases, but in this scenario, stopping the seizure takes precedence over oxygen administration. Option C) Monitor the child's vital signs is important but not the priority when the child is actively seizing, as immediate intervention to stop the seizure is critical. Option D) Check the child's blood glucose level is also important in evaluating potential triggers for seizures, but it is not the immediate priority when the child is actively seizing. Educationally, understanding the urgent nature of managing seizures in pediatric patients is crucial for pediatric nurses. Timely and appropriate administration of antiepileptic medications can prevent complications and improve outcomes in children with epilepsy. This scenario highlights the significance of prioritizing interventions based on the immediate needs of the patient in an emergency situation.

Correct Answer: A

Rationale: In this scenario, the nurse's priority action should be to obtain a urine sample for toxicology screening. This step is crucial in identifying the substances involved in the relapse, which will guide appropriate treatment strategies. Establishing a therapeutic relationship and discussing treatment options come after obtaining necessary diagnostic information to ensure a comprehensive care plan.

Correct Answer: A

Rationale: The appropriate response for the caregiver is to address the parents' concerns by suggesting scheduling a hearing test and potentially referring the child to a speech therapist if necessary. This proactive approach can help evaluate and support the child's hearing and speech development effectively.

Correct Answer: C

Rationale: In pediatric nursing, educating parents on safe sleep practices is crucial to prevent incidents of Sudden Infant Death Syndrome (SIDS). The correct answer is option C: "We will keep our baby in our bed so we can monitor them closely." This statement indicates a need for further teaching because bed-sharing increases the risk of accidental suffocation, entrapment, or overlaying, which can lead to SIDS. Option A is correct as placing the baby on their back to sleep is the recommended position to reduce the risk of SIDS. Option B is also correct as using a firm mattress and avoiding soft bedding decreases the risk of suffocation. Option D is correct as keeping toys or pillows out of the crib also reduces the risk of suffocation. Educationally, it's important to emphasize the ABCs of safe sleep: Alone (infant in their own sleep area), on their Back, and in a Crib (or bassinet) with no soft bedding. Parents should be informed about the dangers of bed-sharing and encouraged to follow the safe sleep guidelines to protect their infant's well-being.