EAQ Quiz: Gastrointestinal System; Endocrine System; Toddlers

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Which action by the nurse while administering human growth hormone ensures effective therapy?

Administration at nighttime

The nurse is teaching the parents of a toddler with a recent diagnosis of hemophilia about the disease. Which area of the body would the nurse include as the most common site for bleeding?

Joints

A client drinks 7.5 oz of orange juice, 6 oz of tea, and 8 oz of eggnog. How many milliliters of fluid should the nurse document that the client has consumed? Record your answer using a whole number. ___ mL

645 mL (1 oz = approx. 30 mL)

Which priority medication will the nurse prepare to administer to the client admitted with acute salmonellosis?

Electrolytes

Which condition results in elevated serum adrenocorticotropic hormone (ACTH) and urine cortisol levels?

Pituitary Cushing syndrome

Which client is the best candidate for a stimulation test to confirm a diagnosis of acromegaly based on the current data in the chart?

Somatotropin values should be less than 4 ng/mL (4 mcg/L) in males and less than 18 ng/mL (18 mcg/L) in females. Somatotropin values greater than 50 ng/mL indicate acromegaly.

The mother of a 2-year-old child expresses concern to the nurse that her child still takes a bottle of milk to bed at night. How would the nurse explain to the mother that this practice should be stopped?

The child is at increased risk for dental caries.

Why is it essential for the nurse to obtain the height and weight of a severely dehydrated toddler?

The values are used to calculate fluid replacement and medication dosages.

A 2-year-old child with previously diagnosed hemophilia is admitted to the pediatric unit for observation after a motor vehicle collision. The toddler has several bruises but no other apparent injuries. Which is the nurse's specific concern regarding this child?

Undetected injury

The nurse provides dietary teaching for a client with a colostomy. Which response by the client is indicative of successful learning?

"I can eat everything I ate before the operation but avoid foods that cause gas."

A client is admitted to the hospital with Laënnec cirrhosis and chronic pancreatitis. Bile salts (bile acid factor) are prescribed, and the client asks why they are needed. How would the nurse respond?

"They aid in the absorption of fat-soluble vitamins."

Which education would the nurse provide the parent of a toddler about the ingestion of plants? Select all that apply. One, some, or all responses may be correct.

- "Plants may cause contact dermatitis." - "Plants place your child at risk for choking." - "Plants that are ingested are sometimes fatal." - "Plants that are ingested can irritate the gastrointestinal [GI] tract."


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