A five-year-old child is being discharged from the outpatient ...

[chandani]

A five-year-old child is being discharged from the outpatient surgical center. Which statement by the parent would indicate the need for further teaching?
 
  1. I will call the office tomorrow if the pain medicine is not relieving the pain.
  2. I can expect my child to have some pain for the next few days.
  3. Because my child just had surgery today, I can expect the pain level to be higher tomorrow.
  4. I will plan to give my child pain medicine around the clock for the next day or so.

Question 2

An adolescent female with untreated Graves' disease is admitted to the hospital. The nurse expects to find which signs and symptoms in this client?
 
  1. Hyperglycemia, ketonuria, and glucosuria
  2. Weight gain, hirsutism, and muscle weakness
  3. Tachycardia, fatigue, and heat intolerance
  4. Dehydration, metabolic acidosis, and hypertension

[choc0chan]

Answer to Question 1

3
Rationale 1: If prescribed medication is not relieving the pain to a satisfactory level, the physician should be notified. This statement indicates the parent understands and does not need additional teaching.
Rationale 2: The child is expected to have some pain for a few days after surgery. This statement indicates the parent understands the teaching.
Rationale 3: Increasing pain can be a sign of complication and should be reported to the physician; therefore, the nurse should clarify expectations for pain control.
Rationale 4: The child should receive pain medication on a scheduled basis. This statement indicates the parent understands the teaching.
Global Rationale:

Answer to Question 2

3
Rationale 1: Hyperglycemia, ketonuria, and glucosuria are signs of diabetes.
Rationale 2: Weight gain, hirsutism, and muscle weakness are seen in clients with Cushing's disease.
Rationale 3: Clinical manifestations of Graves' disease are tachycardia, fatigue, and heat intolerance, seen with hyperthyroidism.
Rationale 4: Dehydration, metabolic acidosis, and hypertension are signs of congenital adrenal hyperplasia.
Global