Author Question: The nurse is preparing a teaching plan for the family and their 6-year-old son who has just been ... (Read 74 times)

RODY.ELKHALIL · **on:** Jun 27, 2018

The nurse is preparing a teaching plan for the family and their 6-year-old son who has just been diagnosed with diabetes mellitus. Which of the following would the nurse identify as the initial goal for the teaching plan?

A) Developing management and decision-making skills
B) Educating the parents about diabetes mellitus type 1
C) Developing a nutritionally sound, 30-day meal plan
D) Promoting independence with self-administration of insulin

Question 2

The nurse is talking to the parents of a child who has been diagnosed with severe combined immune deficiency. Which statement by the parents best indicates that they understand their child's condition?

A) He'll need to receive intravenous immunoglobulin routinely..
B) We'll need to prepare him and ourselves for a bone marrow transplant.'
C) He'll need to receive several different types of antiviral medications..
D) We'll make sure that he has his EpiPen with him at all times..

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

Answer to Question 1

A
Feedback:
Developing basic management and decision-making skills related to the diabetes is the initial goal of the teaching plan for this child and family. The nurse would have provided a basic description of the disorder after it was diagnosed. Development of a detailed monthly meal plan would come later, perhaps after consulting with a nutritionist. It is too soon to expect the boy to administer his own insulin.

Answer to Question 2

B
Feedback:
Severe combined immune deficiency (SCID) is a potentially fatal disorder requiring emergency intervention at the time of diagnosis. Gene therapy provides some promise for the future treatment of SCID, but until then bone marrow or stem cell transplantation is necessary. IVIG may be used to help decrease the number of infections until bone marrow or stem cell transplantation can be done. Antiviral medications are used to treat HIV infection. An EpiPen is used for anaphylaxis.