A nurse is caring for a 7-year-old in the emergency department (ED).
Which of the following findings should the nurse include in today's teaching?
Select All That Apply.
Fruity breath odor
Excessive thirst
Negative ketones
Abdominal pain
Sweating
Nightmares
Double vision
Headache
Correct Answer : A,B,D,E,H
A. Fruity breath odor: Expected during hyperglycemia or diabetic ketoacidosis; useful to teach for early recognition of complications.
B. Excessive thirst: Expected in diabetes; teaching should reinforce fluid needs and early symptom identification.
C. Negative ketones: Not expected to teach, as it is a lab result, not a symptom.
D. Abdominal pain: Expected in hyperglycemia or ketoacidosis.
E. Sweating: Expected in hypoglycemia, important for future recognition.
F. Nightmares: Unrelated to diabetes.
G. Double vision: More typical of severe hyperglycemia or other neurological issues.
H. Headache: Expected symptom of hypoglycemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Apply a dry gauze dressing twice per day."
The stent or catheter site may be left open to air, or covered based on provider preference, but frequent dressing changes are not typically required.
B. "Perform hourly measurements of the infant's urinary output."
Hourly measurements are not necessary in a home setting. Monitoring for adequate output and signs of obstruction is sufficient.
C. "Offer the infant 12 to 16 ounces of fruit juice daily."
Fruit juice is not recommended in large quantities for infants and does not support surgical recovery.
D. "Avoid giving the infant a tub bath until the stent is removed."
Immersing in water before the stent is removed can increase the risk of infection or displacement. Sponge baths are preferred.
Correct Answer is C
Explanation
A. "You should give the treatment a chance to work before giving up.":
This statement is nontherapeutic; it conveys judgment and may make the parent feel guilty or defensive.
B. "You should discuss your concerns with your child's provider.":
While involving the provider is important, this answer dismisses the parent's immediate emotions and misses the opportunity for therapeutic communication.
C. "What are your reasons for making this decision today?"
This is a therapeutic communication technique that encourages the parent to express their feelings and concerns without judgment.
D. "Do you need assistance gathering your child's belongings to return home?":
This assumes the parent has finalized the decision without exploring their feelings and providing support first.
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