The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child’s urine and it was positive for ketones. The nurse should instruct the mother to take which action? a. Hold the next dose of insulin. b. Come to the clinic immediately.c. Encourage the child to drink liquids.d. Administer an additional dose of regular insulin.
C. ENCOURAGE THE CHILD TO DRINK LIQUIDS
The nurse should instruct the mother to encourage the child to drink plenty of liquids. When a child with type 1 diabetes is sick, it can cause elevated glucose levels and ketones in urine. Drinking fluids helps to flush the ketones out of the body. It is important for the child with type 1 diabetes to continue taking their insulin as prescribed, even when sick. Therefore, the nurse should not instruct the mother to hold the next dose of insulin or administer an additional dose of insulin. If the child’s symptoms worsen or persist, the mother should contact the healthcare provider for further instructions. Unless the child’s condition is severe, coming to the clinic immediately may not be necessary.
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