Please select the most appropriate nursing diagnosis for a 15 ...

[nenivikky]

Please select the most appropriate nursing diagnosis for a 15 year old with hyperthyroidism. Select all that apply.
 
  1. Disturbed body image related to changes in physical appearance
   2. Imbalanced nutrition related to increased metabolic demands
   3. Risk for decreased fluid volume related to excess salt excretion
   4. Constipation related to thyroid medication side effects

Question 2

During an assessment, the nurse notes the anterior fontanel of a 5 month old is open. This finding:
 
  1. Is abnormal, and the doctor should be immediately notified.
   2. Is abnormal at this age, and a head circumference should be done prior to calling the doctor.
   3. Is normal at this age.
   4. Is normal and should close by the age of two.

[wuly]

Answer to Question 1

1, 2
Feedback
1. Body image according to normal growth and development is very important to an adolescent. If the adolescent with hyperthyroidism is having adverse effects, such as drastic weight loss, exopthalmus, or other complications, his/her sense of self-esteem will be altered. He/she will also have imbalanced nutrition since his/her metabolic needs exceed his/her nutritional needs.
2. Body image according to normal growth and development is very important to an adolescent. If the adolescent with hyperthyroidism is having adverse effects, such as drastic weight loss, exopthalmus, or other complications, his/her sense of self-esteem will be altered. He/she will also have imbalanced nutrition since his/her metabolic needs exceed his/her nutritional needs.
3. They do not loose salt with this disorder. Constipation is a side effect of hypothyroidism, not hyperthyroidism.
4. Diarrhea is an adverse event in children who have hyperthyroidism.

Answer to Question 2

3
Feedback
1. This is a normal finding, so the doctor does not need to be notified.
2. This is a normal finding.
3. The normal finding should be documented.
4. This is a normal finding, and the fontanel should close by the age of 18 months.

[nenivikky]

Excellent

[dreamfighter72]

Thanks for the timely response, appreciate it