A parent of a 9-year-old child newly diagnosed with diabetes mellitus is very concerned about the child participating in social events at school. The nurse creating a plant of care would formulate which goals to address these concerns? Select all that apply.
The child and family will integrate diabetes care into patterns of daily activity.
The child and family will discuss all aspects of the illness and its treatments.
The child will use effective coping mechanisms to manage anxiety.
The child and family will discuss their concerns with the child's teachers and the school nurse.
The child's normal growth and development will be maintained.
Correct Answer : A,B,C,D,E
A. The child and family will integrate diabetes care into patterns of daily activity:
Correct Answer: Correct.
Explanation: Integrating diabetes care into daily activities helps the child manage their condition more effectively. This goal encourages normalization of the routine, making it easier for the child to participate in social events.
B. The child and family will discuss all aspects of the illness and its treatments:
Correct Answer: Correct.
Explanation: Open communication about the illness and its treatments is crucial for understanding and managing diabetes. This goal promotes family education and support, which can help alleviate concerns.
C. The child will use effective coping mechanisms to manage anxiety:
Correct Answer: Correct.
Explanation: Managing anxiety is important for overall well-being. Teaching the child effective coping mechanisms helps them navigate the emotional aspects of living with diabetes and participating in social events.
D. The child and family will discuss their concerns with the child's teachers and the school nurse:
Correct Answer: Correct.
Explanation: Communication with school personnel is essential to ensure a supportive environment for the child. Discussing concerns with teachers and the school nurse promotes awareness and collaboration in managing the child's diabetes at school.
E. The child's normal growth and development will be maintained:
Correct Answer: Correct.
Explanation: Maintaining normal growth and development is a crucial goal. It ensures that the child can engage in age-appropriate activities and social events while managing their diabetes effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Contact the assigned emergency room physician to evaluate the need for an advanced airway
Explanation:
Epiglottitis is a medical emergency that can rapidly progress to airway obstruction. The classic signs and symptoms include a high fever, difficulty swallowing, voice hoarseness, inspiratory stridor, and sternal retractions. Immediate intervention may be necessary to secure the airway. Therefore, contacting the emergency room physician to evaluate the need for an advanced airway (such as intubation) is a priority.
B. Administer intravenous corticosteroids
Explanation: While corticosteroids may be used in the management of epiglottitis to reduce airway inflammation, securing the airway is the priority in the acute phase. Corticosteroids would typically be administered after securing the airway.
C. Obtain a throat culture
Explanation: Obtaining a throat culture is not the immediate priority in the case of suspected epiglottitis. Prompt intervention to secure the airway takes precedence over diagnostic tests.
D. Inspect the throat to obtain further data to support the diagnosis
Explanation: Direct visualization of the throat (inspection) may exacerbate the airway obstruction and is not recommended in the acute management of suspected epiglottitis. The priority is to secure the airway while minimizing agitation and discomfort for the child. Diagnostic procedures, such as obtaining a throat culture, can be considered after the airway is stabilized.
Correct Answer is B
Explanation
A. Cranberry juice
Explanation: Acidic and citrus juices, including cranberry and orange juice, should be avoided in the immediate postoperative period as they can be irritating to the surgical site and may increase the risk of bleeding.
B. Crushed ice
Explanation:
After a tonsillectomy, it's important to provide cold and clear fluids to soothe the throat and prevent bleeding. Crushed ice is a suitable option as it helps keep the throat cool and provides hydration without irritating the surgical site. Cold liquids can help minimize swelling and provide comfort.
C. Vanilla milkshake
Explanation: While milkshakes may be appealing, dairy products can coat the throat and may not be recommended immediately after surgery. Additionally, it's crucial to avoid using straws, as sucking can increase the risk of bleeding.
D. Orange juice
Explanation: As mentioned earlier, citrus juices like orange juice can be irritating to the surgical site and are not recommended in the early postoperative period after a tonsillectomy. It's essential to choose clear and non-acidic fluids to support healing and prevent complications.
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