A 12-year-old child with newly diagnosed type 1 diabetes mel… | 마이메르시 MyMerci
마이메르시 — 문제와 상세 해설까지 전부 무료 무료로 시작하기
Child Health
문제

A 12-year-old child with newly diagnosed type 1 diabetes mellitus is being prepared for discharge. The child's parents express concern about preventing long-term complications. What is the most appropriate initial nursing intervention to address this concern?

해설
Teaching parents to recognize early hypoglycemia signs and glucagon administration is the priority safety intervention for newly diagnosed pediatric diabetes, addressing immediate emergency concerns. Other options are important but secondary for initial intervention.
같은 주제 다음 문제A 12-year-old child with newly diagnosed type 1 diabetes mellitus is being assessed by the…

심화 해설


Understanding the Core Concern

When a child is newly diagnosed with type 1 diabetes mellitus (T1DM), parents often focus on the distant future, worrying about complications like retinopathy or nephropathy. However, the immediate, life-threatening risk in the first days and weeks at home is hypoglycemia. The transition from a monitored hospital setting to home management is a high-risk period. Research indicates that hypoglycemia is a significant and prevalent issue in newly diagnosed children. A study on hospitalized children with new-onset T1DM found a notable incidence of hypoglycemic events, with some experiencing severe episodes (blood glucose

임상 시나리오

Clinical Practice Guide: Discharge Teaching for New-Onset Pediatric T1DM
Priority: Hypoglycemia Safety

The immediate post-discharge period carries the highest risk for severe hypoglycemia. The family's ability to recognize and treat low blood glucose is the single most critical survival skill. "Sick day rules" and long-term complication prevention are secondary to this acute safety need.

Essential Discharge Competencies
  • Hypoglycemia Recognition: Teach physical signs (shakiness, sweating, pallor) and neuroglycopenic symptoms (confusion, lethargy) specific to their child.
  • Glucagon Administration: Require a return demonstration of the glucagon injection kit. Ensure at least two family members are trained.
  • Rule of 15: For conscious hypoglycemia, instruct on giving 15 grams of fast-acting carbohydrate, rechecking blood glucose in 15 minutes, and repeating if necessary.
Structuring the Teaching Session

Begin with survival skills (hypoglycemia management, insulin administration) before progressing to advanced topics like carbohydrate counting or exercise adjustments. Provide a clear, written emergency action plan with specific blood glucose thresholds for giving glucagon and calling emergency services.

핵심 개념

  • Hypoglycemia — An acute complication of diabetes management characterized by abnormally low blood glucose, which can lead to seizures, loss of consciousness, and death if not treated promptly.
  • Glucagon — A hormone administered via injection to rapidly raise blood glucose levels in a person with severe hypoglycemia who is unconscious or unable to swallow safely.
  • Type 1 Diabetes Mellitus — A chronic autoimmune condition where the pancreas produces little to no insulin, requiring lifelong exogenous insulin therapy for survival.
Merci NCLEX-RN Question Bank 3,445 문제 · 로그인 없이 바로 볼 수 있어요

마이메르시로 국가고시 완벽 대비

기출문제와 상세 해설을 무료로. 내 약점을 분석하고 진도를 관리하며 더 똑똑하게 공부하세요.

무료로 시작하기
App Store Google Play

학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.