A nurse is caring for a 7-year-old client who has an upper respiratory infection and a history of type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?

"I will notify the doctor if his temperature is not controlled with acetaminophen."

"I will continue to check his blood sugar two times every day."

"I will report a change in breathing or signs of confusion."

"I will encourage him to drink a half a cup of water or sugar-free fluid every 30 minutes."