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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Upper extremity fractures in children commonly occur as a result of falls. Children are more prone to falls due to their developing motor skills, balance, and coordination. They may fall from playground equipment, bicycles, or simply while running or playing.
While sports injuries (Option A) can also lead to upper extremity fractures, falls are generally the most common cause in children.
Physical abuse (Option B) is an unfortunate possibility in some cases, but it is important to approach the assessment without assuming abuse as the cause without appropriate evidence or disclosure.
Upper extremity fractures resulting from automobile crashes (Option D) are less common in children compared to falls or sports injuries, although they can occur in severe accidents.
It is always important for the nurse to assess the child's history, obtain a detailed account of the injury, and consider any additional signs or indications that may suggest non-accidental trauma if appropriate.
Correct Answer is C
Explanation
Compartment syndrome is a condition that can occur following an injury, such as a fracture, where there is increased pressure within a closed space (compartment) in the body. In the case of a forearm fracture, swelling and increased pressure within the compartment can lead to compression of the nerves and blood vessels, resulting in symptoms such as pain, numbness, and decreased function of the affected muscles.
The inability to extend the fingers suggests impairment of the extensor muscles, which are innervated by the radial nerve. If the radial nerve is compressed or injured due to compartment syndrome, it can result in a loss of function in the muscles it innervates, leading to the inability to extend the fingers.
damage to the epiphyseal plate in (option A) is incorrect because it, is not related to the inability to extend the fingers. The epiphyseal plate is the growth plate in long bones, and damage to it would typically affect bone growth rather than finger extension.
, stating that it is normal following this type of injury in (option B), is incorrect. Inability to extend the fingers is not a normal or expected finding after a forearm fracture. It suggests a potential complication or underlying issue.
fat embolism in (option D) is incorrect because it, is unlikely to cause an inability to extend the fingers. Fat embolism occurs when fat globules from a broken bone enter the bloodstream and can lead to respiratory and neurological symptoms, but it would not specifically cause an isolated loss of finger extension.
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