Author Question: The nurse is caring for 8-year-old girl with diabetes insipidus. Which of the following nursing ... (Read 41 times)

Zoey63294 · **on:** Jun 27, 2018

The nurse is caring for 8-year-old girl with diabetes insipidus. Which of the following nursing interventions would be expected?

A) Instructing the parents to report adverse reactions to the growth hormone treatment
B) Teaching the parents how to administer the desmopressin acetate
C) Informing the parents that treatment will stop when puberty begins
D) Urging the parents to report signs of acute adrenal crisis

Question 2

The nurse is inspecting the fingernails of an 18-month-old girl. Which of the following findings indicates chronic hypoxemia?

A) Nails that curve inward
B) Clubbing of the nails
C) Nails that curve outward
D) Dry, brittle nails

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

Answer to Question 1

B
Response:
The nurse would teach the parents how to administer desmopressin acetate, which treats diabetes insipidus, a disorder related to the posterior pituitary gland. Instructing parents to report adverse reactions to growth hormone is an intervention for growth hormone deficiency. Informing the parents that treatment will stop at the normal time of puberty is a teaching intervention for precocious puberty. Urging the parents to report signs of an acute adrenal crisis is an intervention for congenital adrenal hyperplasia. All three of these other disorders are related to the anterior pituitary.

Answer to Question 2

B
Response:
Clubbing of the nails indicates chronic hypoxemia, related to either respiratory or cardiac disease. Nails that curve inward or outward may be hereditary or linked with injury, infection, or iron deficiency anemia. Dry, brittle nails may indicate a nutritional deficiency.