Author Question: The nurse is assessing a 9-year-old girl who had tuberculosis when she was 6 years old, has been ... (Read 104 times)

storky111 · **on:** Jun 27, 2018

The nurse is assessing a 9-year-old girl who had tuberculosis when she was 6 years old, has been losing weight, and has no appetite. Which of the following assessment findings would be most indicative of Addison's disease?

A) Arrested height and increased weight
B) Thin, fragile skin and multiple bruises
C) Hyperpigmentation and low blood pressure
D) Blurred vision, headaches, and enuresis

Question 2

The nurse is caring for a 7-year-old boy with diabetes insipidus. What will be the primary nursing diagnosis?

A) Deficient fluid volume related to dehydration
B) Excess fluid volume related to edema
C) Deficient knowledge related to fluid intake regimen
D) Imbalanced nutrition, more than body requirements

Animal_Goddess · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Response:
Hyperpigmentation and low blood pressure would point to Addison's disease. Arrested height and increased weight is typical of acquired hypothyroidism; this girl has lost weight. Thin, fragile skin and multiple bruises are indicative of Cushing's syndrome. Blurred vision, headaches, and enuresis would be complaints of a child with diabetes mellitus.

Answer to Question 2

A
Response:
The primary nursing diagnosis would be deficient fluid volume related to dehydration due to a deficiency in the secretion of the antidiuretic hormone (ADH). Excess fluid would result from a disorder that leads to water retention, such as syndrome of inappropriate antidiuretic hormone (SIADH). Deficient knowledge related to fluid intake regimen is a nursing diagnosis for this child, but a secondary one. Greater than required nutrition related to excess weight would not be appropriate for this child since he probably has lost weight.