Homework Clinic
Hands-on Clinic => Nursing and Clinical => Topic started by: FButt on Jun 28, 2018
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Which does the nurse include on the teaching plan for the parents of a child with Addison's disease?
A.
How to administer steroids subcutaneously
B.
How to eliminate all stress from the child's life
C.
How to give hydrocortisone (A-Hydrocort) IM
D.
How to keep the child hydrated when ill
Question 2
A teenager has Crohn's disease and presents to the emergency department with a 3-day history of decreased appetite, lethargy, and fatigue. Today the parent reports the child is confused and looks blue. The nurse finds the child hypotensive.
Which assessment question is most helpful?
A.
Could your child be using illicit recreational drugs?
B.
Has your child been taking steroids for Crohn's disease?
C.
Have you taken her temperature today or yesterday?
D.
Is anyone else in your family sick now or recently?
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Answer to Question 1
ANS: C
An important safety measure the nurse teaches the parents of this child is how to administer hydrocortisone intramuscularly in case the child is vomiting. It is not given subcutaneously. The parents will not be able to eliminate all stress from the child's life. Keeping the child hydrated when ill is important, but is not specific for this disease process.
Answer to Question 2
ANS: B
Steroids are often used to treat Crohn's disease and other autoimmune disorders. Because the child is manifesting signs of Addisonian crisis, the nurse should inquire about the use of steroids. Also, because the patient is a teenager, noncompliance is always a possibility. Abrupt discontinuation of steroids can precipitate an Addisonian crisis. The other assessment questions may yield valuable information but are not directly related to this child's history and presentation.