The school nurse is conducting a screening on back safety for ...

[dollx]

The school nurse is conducting a screening on back safety for school-age clients who are in the 6th grade. The nurse brings a scale and weighs all the children and their backpacks behind a screen for privacy.
 
  One client weighs 40 kg and the backpack weighs 8 kg. Which intervention is appropriate for this client?
  A) Tell the student that the backpack is not too heavy for his weight.
  B) Budget for rolling backpacks for all the students.
  C) Explain the risks of heavy backs and alternatives to the student's parents.
  D) Tell the student that to take some items out of the backpack.

Question 2

The nurse is concerned that a school-age client has undiagnosed type 1 diabetes mellitus and is experiencing diabetic ketoacidosis (DKA). What did the nurse assess in the client to come to this conclusion?
 
  Select all that apply.
  A) Blurred vision
  B) Irregular heartbeat
  C) Sunken eye sockets
  D) Sluggish bowel sounds
  E) Dry mucous membranes

[zhanghao]

Answer to Question 1

Answer: C

If possible, backpacks should weigh no more than 10 of the child's body weight. This child's backpack weighs 20 of his body weight, increasing his risks for alterations in the alignment of the spinal column as well as significant pain. The best intervention would be to explain the risk of heavy backpacks and the alternatives to the student's parents. Although rolling backpacks are a viable alternative to decrease the risk of back injury, it may not be feasible to budget these for all the students. Telling the student he must take items out of the backpack has a low probability for success.

Answer to Question 2

Answer: A, B, C, E

The clinical manifestations of all forms of diabetes in children include blurred vision. The clinical hallmarks of diabetic ketoacidosis are dehydration and electrolyte imbalance. An irregular heartbeat can occur with an electrolyte imbalance. Sunken eye sockets and dry mucous membranes are seen in dehydration. Sluggish bowel sounds are not an indication of diabetes or diabetic ketoacidosis.

[dollx]

Thank you

[zhanghao]

Happy to help you