Author Question: In order to effectively instruct the parents of a newly diagnosed diabetic child on home care, the ... (Read 36 times)

urbanoutfitters · **on:** Jun 28, 2018

In order to effectively instruct the parents of a newly diagnosed diabetic child on home care, the most important factor for the nurse to consider while implementing the teaching plan would be:

1. Educational level of the parents.

2. Socioeconomic status of the parents.

3. The level of stress that the parents are experiencing secondary to their child's diagnosis.

4. Prior medical experience of the parents.

Question 2

A nurse is taking care of four different pediatric clients. Which of the following children is at greatest risk for dehydration?

1. 7-year-old child with migraine headaches
2. 18-month-old child with tachypnea
3. 4-year-old child with a broken arm
4. 2-year-old child with cellulitis of the left leg

Anna · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

3

Rationale:

1. The nurse must consider the educational level, but regardless of this level, the parents will still be unable to learn if their stress is uncontrolled.
2. Socioeconomic status is important to consider, but the level of stress is even more important.
3. All of the above factors are important in designing a teaching plan, but the factor with the greatest impact on the parents' level of comprehension would be the level of stress that they are experiencing.
4. Prior medical experience is important, but the parent's stress level will determine their readiness to learn.

Answer to Question 2

2
Rationale:
1. The pediatric client with a chronic or acute condition that does not directly affect the GI or electrolyte system is at a lower risk than is a toddler with a condition that increases insensible water loss.
2. The pediatric client with the greatest risk is under 2 years of age and with a condition that increases insensible fluid loss.
3. The pediatric client with an acute condition that does not directly affect electrolytes is at a lower risk than is a client with a condition that increases insensible water loss.
4. The pediatric client with an acute condition, such as a patient with cellulitis that does not affect the GI or electrolyte system, is at a lower risk than is a toddler with a condition that increases insensible water loss.