A mother brings her 31/2-year-old daughter to the emergency ...

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A mother brings her 31/2-year-old daughter to the emergency department because the child has been vomiting and having diarrhea for the past 36 hours. When assessing this child's temperature, which method would be least appropriate?
 
  A) Oral
  B) Tympanic
  C) Rectal
  D) Axillary

Question 2

The nurse is caring for a school-age child newly diagnosed with type 1 diabetes mellitus. Which nursing action supports the 2020 National Health Goals to reduce the long-term complications from this disease process?
 
  A) Schedule the child and parents to attend diabetes education classes.
  B) Explain how the child's physical abilities will be affected during school.
  C) Recommend homeschooling so the mother can provide the needed medications.
  D) Discuss admission to a rehabilitation facility to learn self-care with this disease process.

[sokh]

Answer to Question 1

C
Feedback:
Obtaining the child's temperature via the rectal route would be least appropriate because the child has diarrhea, and insertion of the thermometer might traumatize the rectal mucosa. Additionally, the rectal route is highly invasive and a child of this age fears body invasion. Using the oral route might be problematic due to the child's age and inability to cooperate, especially in light of the child's vomiting. However, it would not be as dangerous as obtaining a rectal temperature. The tympanic or axillary method would be the most appropriate method.

Answer to Question 2

A
Feedback:
Endocrine disorders tend to be long-term with lifetime consequences. Reducing the incidence of consequences or improving care has long-term implications. A 2020 National Health Goal related to endocrine disorders includes increasing the proportion of persons with diabetes who receive formal diabetes education. To support this goal, the nurse should schedule the child and parents to attend diabetes education classes. There are no 2020 National Health Goals to address alteration in physical abilities, homeschooling with type 1 diabetes mellitus, or the need to be admitted to a rehabilitation facility to learn self-care.