PEDIA: ENDOCRINE/GHD/PKU/Diabetes/DKA

a rn is teaching a client who has type 2 diabetes mellitus about foot care. which of the following statement by the client Indicates an understanding of the teaching?

I'll be sure to wear cotton socks every day

a nurse is caring for a child who has tetralogy Fallot. which of the following lab values should the RN expect to find?

RBC 6.8 million/uL due to experiences of cyanosis. the body will respond by increasing RBC production (polycythemia) to attempt to supply o2 to all the body parts

a home heath nurse is prioritizing visits for four clients. which of the following clients should the RN plan to visit first?

a client who has type 2 diabetes mellitus and reports a new fissure between her toes -acute= more serious

a rn is assessing a 2-month old infant who has a ventricular septal defect. which of the following should the rn report to the provider? a weight gain of 1.8kg heart rate of 125.min soft, flat fontanel systemic murmur

a weight gain of 1.8kg due to increased fluid and worsening of the child's heart failure

a rn is assessing an infant who has untreated congenital hypothyroidism. which of the following manifestation should the RN expect? a) costipation b) hyperrelexia c) oily skin d) hyperthermia

a) costipation

a rn working on a maternal-newborn unit is teaching a group of newly licensed rn about assisting new mothers with breast-feeding. the rn should include with of the following infant conditions as a contraindication for breastfeeding? a) galactosemia b) hyperbilirubineia c) glycogen storage disease d) hypothyroiodim

a) galactosemia cannot metabolize lactose

a RN is caring for a newly admitted newborn who is large for gestational age. after 30 min. the newborn becomes jittery and lethargic with hypotonic muscles and a cry that is different from the times of admission. which of the fowling actions should the RN take? a) perform a heel stick to check the newborn's glucose level b) obtain rx for serum subs. screening c) provide a feeding of sterile water d) screen the newborn for PKU

a) perform a heel stick to check the newborn's glucose level jitteriness, lethargy, hypotonia, unusual cry, respiratory distress, poor feeding, and unstable temperature is a manifestation of hypoglycemia

A rn is caring for a client who is at 6 weeks of gestation and has just received a diagnosis of hyperthyroidism. the rn should anticipate a prescription form the provider for which of the following medications? a) propylthiouracil b) liothyronine c) methimazole d) iodine-131

a) propylthiouracil it does not cross the placenta barrier wall during 1st trimester

a nurse is caring for a client with diabetic keto acidosis who has a rx for an intravenous infusion of insulin. the rn should document that which of the following types of insulin was administered intravenously to treat DKI? a) regular insulin b) insulin lispro c) insuli aspart d) insulin glargine

a) regular insulin

a nurse is caring for a client who has chronic kidney disease. the kidney regulate body fluids as well as assisting with which of the following functions? a) regulation of acid-base balance b) reabsorption of nutrients for cellular growth c) regulation of body temperature d) secretions of hormones needed for growth

a) regulation of acid-base balance the kidney assist with the regulation of acid-base balance in the body by retaining bicarbonate as they excrete hydrogen ions

A rn is administering insuli gluisine 10 units sub-q at 0730 to an adolescent client who has type 1 diabetes mellitus. the RN should anticipate the onset of action of the insulin at which of the following times? a) 0800 b) 0745 c) 0900 d) 1030

b) 0745 insulin glulisine as a very short onset of action of 15min

a community health nurse is planning care for 4 high-risk newborns who were discharged yesterday.which of the following newborns should the nurse plan to care for first? a) a 1 week old newborn who needs another PKU screening test b) a 4-day old newborn who is small for gestational age and requires daily weighing c) a 10-day old newborn who is small for gestational age and requires daily weighing d) a 2-week-old newborn who was born at 35 weeks gestation and weighed 2,268 g (5lb) at discharge

b) a 4-day old newborn who is small for gestational age and requires daily weighing

a RN is assessing a client who us pregnant and reports increased nasal stuffiness. the RN should inform the client that which of the following hormones is responsible for this discomfort? a) relaxin b) estrogen c) progesterone d) human chorionic somatomammotropin (HC)

b) estrogen estrogen increased vascularity and connective tissue growth. nasal stuffiness, a common discomfort in pregnancy, results from the increased vascularity of the mucus membranes with the nasal passages

a rn is teaching the guardian of a school-age child who has diabetes mellitus how to recognize DKA. which of the following findings should the RN identify as a manifestation of this complication? a) slow heart rate b) protruding eyeballs c) Deep, rapid respirations d) decreased urinary output

c) Deep, rapid respirations

The parents of a child with PKU asks the nurse if their second unborn child could have the same condition. the nurse should base the response on which of the following inheritance patterns responsible for PKU? a) x-linked recessive b) x-linked dominant c) autosomal recessive d) autosomal dominant

c) autosomal recessive PKU is inherited bu autosomal-recessive gene patterns. in these types of disorders neither parent may actually have the disorder, but both mother and father must carry and contribute a variant gene for it to occur.

a nurse is providing dietary teachin to the parent of a toddle who has PKU. which of the following foods should the nurse recommend? a) whole milk b) ground beef c) coked carrots d) eggs

c) coked carrots the nurse should instruct the parent to offer the toddler food that are low in protein such as cooked carrots and fruits

a rn is caring for a client who has DKA. which of the following findings should the RN expect? a) urine negative for ketones b) distended neck veins c) kussmal respirations d) elevated blood pressure

c) kussmal respirations

A nurse is assessing a client who has manifestations of acromegaly. which of the following finding should the RN expect? a) thinning of skeletal bone structure b) concave chest wall c) high-pitched voice d) increased head size

d) increased head size acromegaly will present with an enlarged head size due to the excessive production of GH after closing of the epiphyses by the pituitary gland.

a nurse is teaching the guardian of a school-aged child about growth hormone therapy. which of the following statements should the RN include in the teaching? a) your child will grow an extra 4 to 6 inches while receiving hormone therapy b) hormone injection therapy will ocher for 2 to 3 years c) your child will receive hormone injections no more often than 1 to 2 times each week d) the hormone injections are administered sub-q

d) the hormone injections are administered sub-q

A nurse is teaching the parents of an infant who has congenital hypothyroidism. which of the following directions should the RN provide? a) your child will need to take estrogen daily when she reaches puberty b) your child will need monthly blood coagulation studies c) your child will need surgery to remove the diseased thyroid d) your child will need to take thyroid hormone replacement for her entire life

d) your child will need to take thyroid hormone replacement for her entire life

a rn is planning care for a client who has type 2 diabetes mellitus, which of the following interventions should the RN include in the plan?

encourage the client to control weight

a rn is cheking lab values to determine if a client with diabetes mellitus is adhering to the treatment plan. which of the following tests should the rn use to make this determination?

glycosylated hemoglobin

a nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia, which of the following findings indicates the client has hyperglycemia? hunger? increased urination? cold, clammy skin? tremors?

increased urination

A rn is teaching a client who has type 2 diabetes mellitus about a rx for insulin lsspro. which of the following statements should the rn include in the teaching?

insulin lsspro has an onset of about 15 minutes

a rn is planning a community health screening for a group of clients who are at risk for type 2 diabetes mellitus. which of the following clients should the RN include in the screening?

men and women who are obese

A RN is assessing a child who's a ventricular septal defect. which of the following finterm-33dings should the RN expect? diastolic murmur murmur at the left sternal border cyanosis that increased with crying widened pulse pressure

murmur at the left sternal borde

a rn is providing teaching to a client who has type 2 diabetes mellitus about the pathophysiology of the disease. whiff of the following statements by the client indicates and understanding of the teaching?

my cells are resistant to the effects of insulin

a rn is caring for a 4-month-old infant who has tetralogy of fallout and experiences a hyoercyanotic spell. which of the following actions should the nurse take?

place the infacnt in knee-chest position

a rn is teaching a client who has type 1 diabetes mellitus about a new sub-q insulin infusion pump. which of the following pieces of information should the RN include in the teaching?

plan to use a type of short-duration insulin in the infusion pump i.e lispro, aspart, or glulisine; to deliver a baselune infusion of insulin

a rn is teaching self-administration of NPH insulin to a client who has type 2 diabetes mellitus. which of the following instructions should the RN include?

rotate injection sites within the same area

A rn is caring for a group of infants with congenital heart effects. for which of the following defects should the rn expect to observe cyanosis transposition of the great arteries ventricular petal defect coarctation of the aorta patent ductus arteriousus

transposition of the great arteries

a rn is caring for a client at 39 weeks gestation who its in the active phase of labor. the rn observes late decelerations in the fetal H.R. which of the following findings should the rn identify as the cause of late decelerations? uteroplacental insufficiency fetal head compression fetal ventricular septal defect umbilical cord compression

uteroplacental insufficiency

a rn is teaching an adolescent client who has type 1 diabetes mellitus about managing hypoglycemia, which of the following statements should the RN include in the teaching?

you should drink 4 oz of O.J. if you experience hypoglycemia

a rn is teaching the parents of an infant who has congenital hypothyroidism. which of the fowling directions would the RN provide?

your child will need to take thyroid hormone replacement for her entire life