Test 2 Pediatrics
A child is undergoing diagnostic testing for an endocrine dysfunction. The results indicate excessive levels of circulating cortisol. The nurse interprets this finding as indicating which of the following? Cushing syndrome Addison disease Turner syndrome Graves' disease
Cushing syndrome
The nurse knows that which condition is caused by excessive levels of circulating cortisol?
Cushing syndrome
Shortly after delivery, a newborn is diagnosed with hypocalcemia. What manifestation will the nurse assess in this client? jitteriness excessive sleepiness a distended abdomen constipation
jitteriness
A child with diabetes reports that he is feeling a little shaky. Further assessment reveals that the child is coherent but with some slight tremors and sweating. A fingerstick blood glucose level is 70 mg/dl. What would the nurse do next? Administer glucagon intramuscularly. Offer a complex carbohydrate snack. Give 10 to 15 grams of a simple carbohydrate. Administer a sliding-scale dose of insulin.
Give 10 to 15 grams of a simple carbohydrate.
A child is brought to the clinic experiencing symptoms of nervousness, tremors, fatigue, increased heart rate and blood pressure. Based on this assessment, the nurse would suspect a diagnosis of which condition? hypertension Cushing syndrome hypothyroidism Graves' disease
Graves' disease
The nurse working triage in the urgent care center notices a diabetic child may be having metabolic acidosis. Which of the following assessment data would be most indicative of this disorder?
Kussmaul respiration and drowsiness
Which results would indicate to the nurse the possibility that a neonate has congenital hypothyroidism? High thyroxine (T4) level and low thyroid stimulating hormone (TSH) level Low T4 level and high TSH level Normal TSH level and high T4 level Normal T4 level and low TSH level
Low T4 level and high TSH level
A child presents to the primary care setting with enuresis, nocturia, increased hunger, weight loss, and increased thirst. What does the nurse suspect? Hypothyroidism Syndrome of inappropriate diuretic hormone Type 1 diabetes mellitus Diabetes insipidus
Type 1 diabetes mellitus
A nurse should recognize that which laboratory result would be most consistent with a diagnosis of diabetes mellitus?
a fasting blood glucose greater than 126 mg/dl
A child is diagnosed with hypoparathyroidism. Which electrolyte imbalance would the nurse most likely expect to address? hypomagnesemia hypocalcemia hyperkalemia hyponatremia
hypocalcemia
The nurse knows that disorders of the pituitary gland depend on the location of the physiologic abnormality. In caring for a child that has issues with the anterior pituitary, the nurse knows that this child has issues with which hormone? oxytocin antidiuretic hormone vasopressin growth hormone
growth hormone
A child who has type 1 diabetes mellitus is brought to the emergency department and diagnosed with diabetic ketoacidosis. What treatment would the nurse expect to administer? NPH Detemir Lispro Regular insulin
Regular insulin
A child is diagnosed with hypoparathyroidism. Which electrolyte imbalance would the nurse most likely expect to address?
hypocalcemia
The nurse is caring for 1-month-old girl with thyrotoxicosis. What finding would the nurse expect to assess? Skin is cool, dry, and scaly to the touch. The child is hypoactive and hypotonic. Observation reveals lethargy and irritability. The child has a strong appetite but fails to thrive.
The child has a strong appetite but fails to thrive.
The nurse is preparing a child suspected of having a thyroid disorder for a thyroid scan. What information regarding the child should the nurse alert the doctor or nuclear medicine department about? The child has had an MRI of their leg within the past 6 weeks. The child is allergic to shellfish. The child wears a medical alert bracelet for diabetes. The child is taking a vitamin supplement.
The child is allergic to shellfish.
A newborn is born with hypothyroidism. If it is not recognized and treated, what complication is likely?
cognitive impairment
Which hormones are secreted by the adrenal medulla? Select all that apply.
epinephrine and norepinephrine
