Author Question: A nurse doing a daily weight on a child with diabetes insipidus notes the child has lost two pounds ... (Read 127 times)

j.rubin

  • Hero Member
  • *****
  • Posts: 557
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

  • Sr. Member
  • ****
  • Posts: 329
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.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

The shortest mature adult human of whom there is independent evidence was Gul Mohammed in India. In 1990, he was measured in New Delhi and stood 22.5 inches tall.

Did you know?

Methicillin-resistant Staphylococcus aureus or MRSA was discovered in 1961 in the United Kingdom. It if often referred to as a superbug. MRSA infections cause more deaths in the United States every year than AIDS.

Methicilli ...
Did you know?

The top five reasons that children stay home from school are as follows: colds, stomach flu (gastroenteritis), ear infection (otitis media), pink eye (conjunctivitis), and sore throat.

Did you know?

Aspirin may benefit 11 different cancers, including those of the colon, pancreas, lungs, prostate, breasts, and leukemia.

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

For a complete list of videos, visit our video library