The nurse working in a pediatrician's office admits a 5-year-old ...

[tiara099]

The nurse working in a pediatrician's office admits a 5-year-old child for a well-child exam, and is obtaining a history from the mother while noting the child repeatedly scratching her head. The nurse will:
 
  1. Examine the child's head for parasites.
  2. Document a possible nervous disorder in the child.
  3. Ask the mother if she has noted the behavior before.
  4. Apply personal protective equipment.

Question 2

The nurse caring for a client diagnosed with diabetes insipidus plans which of the following nursing interventions? Select all that apply. Standard Text: Select all that apply.
 
  1. Encourage use of extra salt in the diet.
  2. Administer IV fluids and increase oral intake of fluids.
  3. Test urine output for protein and glucose.
  4. Administer insulin as ordered.
  5. Daily weights

[zenzy]

Answer to Question 1

1
Rationale: The nurse should assess the client's head for the presence of lice before implementing any action. The mother's observations do not contribute any pertinent information unless the child's head is clear of parasites.

Answer to Question 2

2,4
Rationale: The client with diabetes insipidus has extremely high urine output that is very dilute with increasing sodium levels. Care should be focused on increasing fluid intake to replace fluid lost by the kidney and reduce sodium intake, and the urine will be tested for specific gravity. Daily weights are the indicated to determine fluid status. Diabetes insipidus is not related to diabetes mellitus, so this client will not require insulin, and findings of protein or glucose in the urine would be abnormal.

[tiara099]

Thanks

[zenzy]

Welcome