Author Question: The nurse is caring for a 9-year-old patient newly diagnosed with diabetes. The patient has ... (Read 86 times)

torybrooks · **on:** Jun 28, 2018

The nurse is caring for a 9-year-old patient newly diagnosed with diabetes. The patient has polyuria, polydipsia, and weight loss. Which nursing diagnoses will the nurse include in the care plan? Select all that apply.

A) Imbalanced nutrition: less than body requirements
B) Deficient fluid volume
C) Deficient knowledge regarding disease process
D) Noncompliance
E) Delayed growth and development

Question 2

While auscultating the heart of a 5-year-old child, the nurse notes a murmur that is soft and quiet and heard each time the heart is auscultated. The nurse documents this finding as what grade?

A) Grade 1
B) Grade 2
C) Grade 3
D) Grade 4

DylanD1323 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Ans: A, B, C
Polyuria (excessive urination), polydipsia (excessive thirst), and weight loss support the diagnoses of Deficient fluid volume and Imbalanced nutrition: less than body requirements. Being newly diagnosed with the disease at the age of 9 supports the diagnosis of Deficient knowledge regarding disease process. There is no data to support Noncompliance or Delayed growth and development.

Answer to Question 2

Ans: B
A grade 2 murmur is soft and quiet and is heard each time the chest is auscultated. A grade 1 murmur is barely audible and is heard at some times and not at other times. A grade 3 murmur is audible with intermediate intensity. A grade 4 murmur is audible and accompanied by a palpable thrill.