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

Answer and Explanation

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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Correct Answer is B

Explanation

The statement that best describes why infants are at greater risk for dehydration than older children is option B. Infants have an increased extracellular fluid volume compared to older children. This means that a larger proportion of their total body fluid is located outside the cells, in the extracellular compartment. This higher extracellular fluid volume makes infants more susceptible to fluid losses and dehydration if they experience inadequate fluid intake or increased fluid losses.

infants have an increased ability to concentrate urine in (option A), is incorrect. Infants have limited renal function and may have difficulty concentrating urine compared to older children and adults. This can contribute to a higher risk of dehydration in infants.

infants have a greater volume of intracellular fluid in (option C), is incorrect. The volume of intracellular fluid is not the primary factor contributing to the increased risk of dehydration in infants.

infants have a smaller body surface area in (option D) is incorrect because it, is not directly related to the increased risk of dehydration. Body surface area influences heat exchange and fluid loss through sweating but is not the main factor contributing to the higher risk of dehydration in infants.

A. Normal sensorium and serum glucose greater than 160 mg/dL B. Urine positive for ketones and serum glucose greater than 300 mg/dL C. Irritability and serum glucose less than 60 mg/dL D. Increased urination and serum glucose less than 120 mg/dL

Correct Answer is C

Explanation

Hypoglycaemia is characterized by low blood sugar levels. In children, symptoms of hypoglycaemia can vary, but irritability is a common sign. Other signs and symptoms of hypoglycaemia in children may include sweating, trembling, pale skin, hunger, weakness, confusion, and dizziness.

Normal sensorium and serum glucose greater than 160 mg/dL in (Option A) is incorrect because a normal sensorium (normal level of consciousness) and a serum glucose level greater than 160 mg/dL would not be indicative of hypoglycaemia.

Urine positive for ketones and serum glucose greater than 300 mg/dL in (Option B) is incorrect because it describes characteristics of hyperglycaemia (high blood sugar levels) rather than hypoglycaemia. Positive urine ketones and a serum glucose level greater than 300 mg/dL are commonly seen in diabetic ketoacidosis, a complication of high blood sugar levels in diabetes.

Increased urination and serum glucose less than 120 mg/dL in (Option D) is incorrect because it describes increased urination and a serum glucose level less than 120 mg/dL. While a serum glucose level less than 120 mg/dL could indicate hypoglycaemia, increased urination is not a typical sign of hypoglycaemia. Increased urination may be seen in conditions such as diabetes mellitus when blood sugar levels are consistently high.

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What is the priority nursing goal for a 14-year-old with Graves' disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement best describes why infants are at greater risk for dehydration than older children?

Correct Answer is B

Explanation

Which sign is the nurse most likely to assess in a child with hypoglycaemia?

Correct Answer is C

Explanation

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