A nurse doing a daily weight on a child with diabetes insipidus ...

[j.rubin]

A nurse doing a daily weight on a child with diabetes insipidus notes the child has lost two pounds in 24 hours. The nurse should
 
  1. continue to monitor the child.
  2. notify the physician regarding theweight loss.
  3. chart the weight and report the lossto the next shift.
  4. do nothing more than chart theweight,as this would be a normal finding.

Question 2

A child with growth-hormone deficiency will be receiving a daily subcutaneous injection of biosynthetic growth hormone. The parents are being trained to administer the injection.It is important for the nurse to instruct the parents to
 
  1. avoid cleaning the area with alcohol.
  2. use only the legs for injection sites.
  3. delay giving injection by one day ifchild becomes upset.
  4. rotate the injection sites.

[Sammyo]

Answer to Question 1

Answer:2
Rationale: With diabetes insipidus the child may have severe fluid-volume deficit. A weight loss of two pounds indicates a loss of one liter of fluid,so the physician should be notified and fluids replaced either orally or intravenously. This is a significant loss in a 24-hour period,so continuing to monitor,charting the weight and reporting to the next shift,and doing nothing would prolong treatment.

Answer to Question 2

Answer:4
Rationale:Lipoatrophy may occur at growth-hormone injection sites;therefore, the sites should be rotated. The area should be cleansed with alcohol. The arms, thighs,abdomen,and fatty part of the buttocks can be used for injection sites, and the injection should be given at the same time every day so a routine is established. This minimizes the trauma of receiving daily injections.Delay in giving the injection will only heighten the child's anxiety.

[j.rubin]

Thank you

[Sammyo]

Happy to help you