Author Question: After reviewing the population demographics for an urban community, the community health nurse ... (Read 137 times)

krzymel · **on:** Jun 25, 2018

After reviewing the population demographics for an urban community, the community health nurse determines that community members would benefit from teaching on types 1 and 2 diabetes mellitus in children.

Which information caused the nurse to come to this conclusion?
Select all that apply.
A) 60 of community families have both parents diagnosed with type 2 diabetes mellitus.
B) 35 of school-age children do not routinely receive the annual flu vaccination.
C) 50 of children between the ages of 10 and 19 are African-American.
D) 25 of children between the ages of 10 and 19 are Hispanic.
E) 75 of school-age children are raised in families where both parents are unemployed.

Question 2

On the first postoperative day after spinal fusion, the nurse assesses a client and finds temperature 39.2 C, blood pressure 100/50 mmHg, heart rate 118 bpm, and respirations 23 breathes per min.

Drainage at the incision site is clear and tests positive for glucose. Which assessment parameter indicates the highest risk for surgical wound infection?
A) Temperature
B) Incisional drainage positive for glucose
C) Heart rate 118 bpm
D) Presence of incisional drainage

zenzy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A, C, D

The risk factors for diabetes include race, ethnicity, and family history. Type 2 diabetes mellitus rates are greater among youth ages 10-19 with higher rates among U.S. minority populations than in non-Hispanic Whites. Frequency of obtaining the annual flu vaccination and socioeconomic status are not risk factors for the development of type 1 or 2 diabetes in children.

Answer to Question 2

Answer: B

Presence of glucose in the incisional drainage is indicative of cerebrospinal fluid (CSF). A leak of CSF increases the risk of infection of the surgical site and meninges. Temperature above 38 C is a fever. Fever may be a sign of infection anywhere in the body, not just at the surgical wound site. Heart rate could also be elevated for numerous reasons. Purulent drainage suggests wound infection. Clear drainage from a spinal incision is a sign of possible infection.