Author Question: The nurse is teaching family members of an adolescent who is a diabetic and was recently ... (Read 27 times)

audie · **on:** Jun 28, 2018

The nurse is teaching family members of an adolescent who is a diabetic and was recently hospitalized for diabetic ketoacidosis (DKA); the family understands that the adolescent, upon returning to school, will:

1. Not necessarily adhere to dietary recommendations.
2. Acknowledge her condition to her classmates.
3. Not experience social stigma.
4. Recognize that there is no difference between her and her classmates.

Question 2

A two-year-old male child arrived in the emergency department with complaints of sore throat, difficulty swallowing, and suspected diagnosis of acute epiglottitis.

Which of the following interventions should not be included in the child's immediate care and assessment? 1. Throat culture
2. Medical history
3. Vital signs
4. Assessment of breath sounds

ambernicolefink · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1
Rationale:
1. Adolescents have poorer eating habits than all other age groups, adolescents with diabetes may not adhere to necessary dietary restrictions.
2. Adolescents will attempt to hide their health conditions from their classmates.
3. Adolescents might experience social stigma when their classmates find out about a health condition.
4. Adolescents might recognize differences between themselves and others, such as appearance, abilities, and social skills, for the first time.

Answer to Question 2

1
Rationale 1: Throat cultures should never be done when a diagnosis of epiglottis is suspected. Manipulation of the throat can stimulate the gag reflex in an already inflamed airway and can cause complete occlusion of the airway.
Rationale 2: Medical history should be obtained, which assists in diagnosis.
Rationale 3: Vital signs should always be taken when assessment is done.
Rationale 4: Assessment of breath sounds is essential for diagnosis.
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