Author Question: A nurse is planning care for a child with Adrenal Insufficiency (Addison's Disease). The priority ... (Read 82 times)

Sportsfan2111 · **on:** Jun 27, 2018

A nurse is planning care for a child with Adrenal Insufficiency (Addison's Disease). The priority nursing diagnosis is:

1. Risk for deficient fluid volume.
2. Risk for injury, secondary to hypertension.
3. Acute pain.
4. Imbalanced nutrition.

Question 2

The nurse is beginning to administer the Denver II to a small child when his mother says, Can you tell me again what this Denver II is? The nurse's best response is which of the following?

1. It's a simple intelligence test for young children..
2. It tells us what a child can do at a particular age..
3. It determines a child's visual acuity..
4. It is a test to screen for hearing abnormalities..

xiazhe · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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1. Adrenal insufficiency can cause a fluid deficit. The goal of care is to maintain fluid and electrolyte balance while normal levels of mineralcorticoids and corticosteroids are established. Therefore, acute pain and imbalanced nutrition are not a priority nursing diagnosis.
2. A symptom of adrenal insufficiency is hypotension, not hypertension.
3. Acute pain and imbalanced nutrition are not priority nursing diagnoses.
4. The goal of care is to maintain fluid and electrolyte balance while normal levels of mineralcorticoids and corticosteroids are established. Therefore, acute pain and imbalanced nutrition are not priority nursing diagnoses.

Answer to Question 2

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1. The test does not measure intelligence, but focuses on developmental milestones.
2. The test measures the level of development and compares to the standard.
3. The test focuses on cognitive, hearing, visual, and physical skills.
4. The test focuses on cognitive, hearing, visual, and physical skills.