What is the priority nursing goal for a 14-year-old with Graves' disease?
Verbalizing the importance of adherence to the medication regimen
Developing alternative educational goals
Allowing the adolescent to make decisions about whether or not to take medication
Relieving constipation
The Correct Answer is A
Graves' disease is an autoimmune disorder that affects the thyroid gland and results in the overproduction of thyroid hormones. Treatment for Graves' disease typically involves medications to regulate thyroid function. Adherence to the medication regimen is crucial for managing the disease and controlling symptoms.
By prioritizing the goal of verbalizing the importance of adherence to the medication regimen, the nurse aims to educate the adolescent about the significance of taking medications as prescribed. This education can help the adolescent understand the impact of medication non-adherence on their health and encourage them to actively participate in their treatment.
, developing alternative educational goals in (option B) is incorrect because it, is not directly related to the management of Graves' disease and its treatment.
allowing the adolescent to make decisions about whether or not to take medication in (option C) is incorrect because it, is not appropriate for a condition like Graves' disease where medication adherence is necessary for disease management. In this case, the nurse should focus on providing education and support to help the adolescent understand the importance of medication compliance.
relieving constipation in (option D) is incorrect because it, may be a consideration if constipation is a symptom experienced by the adolescent with Graves' disease. However, it is not the priority nursing goal as compared to ensuring adherence to the medication regimen, which directly addresses the management of Graves' disease.
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Related Questions
Correct Answer is D
Explanation
In this scenario, the child's increased urination after a serious motor vehicle crash may
indicate a potential issue with fluid balance. Monitoring the child's intake and output is the
priority action for the nurse. This involves accurately measuring and recording the fluids the
child consumes (intake) and the fluids the child eliminates through urine, sweat, and other
sources (output). By closely monitoring the child's intake and output, the nurse can assess the
child's fluid status and identify any abnormalities or imbalances that may require further
intervention.
Restrict dietary sodium intake in (option A) is incorrect because restricting dietary sodium
intake, may be necessary in certain situations, such as if the child has a known sodium
imbalance or hypertension. However, it is not the priority action in this scenario.
Assess the daily serum sodium level in (option B) is incorrect because assessing the daily
serum sodium level, is important to evaluate the child's electrolyte balance. However, it is not
the priority action compared to monitoring the child's intake and output.
Weigh the child daily in (option C) is incorrect because weighing the child daily, is a useful
measure to assess changes in fluid balance. However, it is not the priority action in this
scenario compared to monitoring the child's intake and output, which provides real-time
information on fluid balance.
Correct Answer is A
Explanation
Intussusception is a medical condition where a portion of the intestine telescopes into an adjacent section, causing an obstruction. This obstruction can affect the normal passage of stool through the intestine.
In intussusception, the obstructed intestine can lead to the development of blood and mucus within the stool, giving it a characteristic appearance described as "currant jelly." The stool may contain a combination of blood, mucus, and faecal matter, resembling the colour and consistency of currant jelly.
loose, foul-smelling stools in (option) is incorrect because it, is not specific to intussusception and can be associated with various gastrointestinal conditions.
hard stools positive for guaiac in (option C) is incorrect because it, is not typical of intussusception. Hard stools and positive guaiac test results are more commonly associated with constipation or other conditions affecting the lower gastrointestinal tract.
ribbon-like stools, in (option D) is incorrect because it may be seen in conditions like colorectal cancer or other obstructive disorders. However, it is not a specific characteristic of intussusception.
In the context of intussusception, the presence of "currant jelly" stools is considered a significant sign and should prompt immediate medical attention. Intussusception is a medical emergency and requires prompt diagnosis and treatment.
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