Peds endocrine prepu questions
The nurse knows that which condition is caused by excessive levels of circulating cortisol?
Cushing syndrome
The nurse is teaching glucose monitoring and insulin administration to a child with type 1 diabetes mellitus and the parents. Which comment by a parent demonstrates a need for additional teaching?
"During exercise we should wait to check blood sugars until after our child completes the activity."
The nurse is teaching a group of caregivers of children diagnosed with diabetes mellitus. The nurse is explaining insulin shock and the caregivers make the following statements. Which statement indicates the best understanding of a reason an insulin reaction might occur?
"He measures his own medication but sometimes doesn't administer the correct amount."
A child and her parents are being seen in the office after discharge from the hospital with a new diagnosis of type 2 diabetes. Which statement by the nurse is true?
"Kids can usually be managed with an oral agent, meal planning, and exercise."
The nurse is educating the parents of a client newly diagnosed with type 1 diabetes. Which statement by the parents indicates additional teaching is needed?
"Our child should not participate in sports or physical activity."
After teaching the parents of a child with central precocious puberty about medication therapy, which statement by the parents indicates successful teaching?
"Our child will start puberty again when the medication stops."
A school-age child is seen in the family clinic. The parents ask the nurse if their child should start taking growth hormones to help the child grow because the parents are short. What is the best response by the nurse?
"Research shows that there must be a diagnosis of deficiency before growth hormones can be started at this age."
After explaining the causes of hypothyroidism to the parents of a newly diagnosed infant, the nurse should recognize that further education is needed when the parents ask which question?
"So, hypothyroidism can be treated by exposing our baby to a special light, right?"
A 10-year-old child has been diagnosed with type 1 diabetes mellitus. The child is curious about the cause of the disease and asks the nurse to explain it. Which explanation will the nurse provide?
"Special cells in a part of your body called the pancreas cannot make a chemical called insulin, which helps control the sugar level in your blood."
The nurse has told the 14-year-old adolescent with diabetes that the doctor would like to have a hemoglobin A1C test performed. Which comment by the client indicates that she understands what this test is for?
"This will tell my doctor what my average blood glucose level has been over the last 2 to 3 months."
A 15-year-old girl has had type 1 diabetes since she was 2 years old. She recently began dialysis and is also struggling with exhaustion. She has been hospitalized with an infection and confides to the nurse that she feels hopeless due to her failing health. How should the nurse respond?
"What do you think would help you feel better or improve your situation?"
A nurse is educating a family about the Chvostek sign after their teen tested positive for Chvostek sign. Which statements by the caregivers shows the nurse that they understand the Chvostek sign?
"When I tap on my child's facial nerve, the reaction is a facial muscle spasm."
A nurse is reinforcing the diagnosis of constitutional delay by the health provider to a 13-year-old male adolescent. Which is the best approach for this teen?
"You will not need medication because your hormone levels are normal. I would be glad to discuss these findings with you."
A child and parents are being seen in the office after discharge from the hospital. The child was newly diagnosed with type 2 diabetes. When talking with the child and parents, which statement by the nurse would be most appropriate?
"Young people can usually be managed with an oral agent, meal planning, and exercise."
The school-age child is scheduled for a 2-hour plasma glucose test. The nurse has given verbal and written instructions to the parent regarding the test. Which comments by the parent indicate that instructions for the test were not followed? Select all that apply.
-"My child only took half of the normal insulin dose this morning." -"When will the IV be started that administers the sugar solution?" -"This test helps in diagnosing infections that may cause my child's blood sugar to be abnormal."
Which findings should the nurse expect to assess when completing the health history of a child admitted for possible type 2 diabetes? Select all that apply.
-Polyuria -Polydipsia -Polyphagia
The nurse is caring for a child who has developed thyroid storm. What intervention(s) will the nurse initiate? Select all that apply.
-cooling blanket -continuous cardiac monitoring -decrease stimulation, such as turning off lights and television
A client is being treated for hyperthyroidism with propylthiouracil. The nurse suspects the client's dose of medication is inadequate when assessing which signs and/or symptoms? Select all that apply.
-tachycardia -diarrhea -fever -irritability
Prior to discharging an infant with congenital hypothyroidism to home with the parents, what should the nurse emphasize regarding the care that this child will need going forward?
Administration of levothyroxine indefinitely
The parents of a child who was diagnosed with diabetes insipidus ask the nurse, "How does this disorder occur?" When responding to the parents, the nurse integrates knowledge that a deficiency of which hormone is involved?
Antidiuretic hormone
The nurse is developing a plan of care for a 7-year-old boy with diabetes insipidus. What is the priority nursing diagnosis?
Deficient fluid volume related to dehydration
The nurse is seeing a new client in the clinic who reports polyuria and polydipsia. These conditions are indicative of which endocrine disorder?
Diabetes insipidus (DI)
An adolescent is having an annual physical. The adolescent has a documented weight loss of 9 lb (4.08 kg). The parent states, "He eats constantly." Exam findings are normal overall, except that the child reports having trouble sleeping, and the child's eyeballs are noted to bulge slightly. Which interventions would the nurse perform based on these findings?
Discuss preparing for a thyroid function test.
A newborn is diagnosed with the salt-losing form of congenital adrenogenital hyperplasia. On what should the nurse focus when assessing this client?
Exploring the girl's perception of her body image and health status
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?
Graves disease
The nurse is caring for a 10-year-old child with growth hormone (GH) deficiency. Which therapy would you anticipate will be prescribed for the child?
Injections of GH
Shortly after delivery, a newborn is diagnosed with hypocalcemia. What manifestation will the nurse assess in this patient?
Jitteriness
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?
Low T4 level and high TSH level
A 7-year-old child who has type 1 diabetes mellitus is at school reporting a headache and dizziness. The school nurse notices sweat on the child's face. What should the nurse do first?
Offer the child 8 ounces of juice or soda
The nurse is caring for a child recently diagnosed with hypoparathyroidism disorder. Which medication would the nurse expect to be ordered?
PO calcium
In a child with diabetes insipidus, which characteristic would most likely be present in the child's health history?
abrupt onset of polyuria, nocturia, and polydipsia
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 is allergic to shellfish.
The nurse is assessing an 8-year-old boy who is performing academically at a second-grade level. The mother reports that the boy states feeling weak and tired and has had a weight increase of 6 pounds (13.2 kg) in 3 months. Which additional data would fit with a possible diagnosis of hypothyroidism?
The child states that the exam room is cold.
A school-age child is diagnosed as having Cushing syndrome from long-term therapy with oral prednisone. What assessment finding is consistent with this child's diagnosis and treatment?
There are purple striae on the abdomen.
A child presents to the primary care setting with enuresis, nocturia, increased hunger, weight loss, and increased thirst. What does the nurse suspect?
Type 1 diabetes mellitus
A nurse is taking care of an infant with diabetes insipidus. Which assessment data are mostimportant for the nurse to monitor while the infant has a prescription for fluid restriction?
Urine output
The nurse is caring for a 12-year-old girl with a chronic endocrine condition that has resulted in weight gain, facial hair, and acne. During a routine examination, the girl confides that she doesn't participate in any extracurricular activities or have any social life because she is so unattractive. She feels it is pointless to get involved with anything or anyone because she is always going to be "fat and ugly." When responding to the girl, which of the following would be the priority?
Weight gain
A newborn is born with hypothyroidism. If it is not recognized and treated, what complication is likely?
cognitive impairment
A newborn is diagnosed with the salt-losing form of congenital adrenogenital hyperplasia. On what should the nurse focus when assessing this client?
dehydration
A pediatric client has just been diagnosed with diabetes insipidus. What is the primaryconsideration for this client?
fluid replacement
The nurse is reviewing the laboratory test results of a child with Addison disease. What would the nurse expect to find?
hyperkalemia
A child is diagnosed with hypoparathyroidism. Which electrolyte imbalance would the nurse most likely expect to address?
hypocalcemia
The nurse working with the child diagnosed with type 2 diabetes mellitus recognizes the disorder can be managed by:
taking oral hypoglycemic agents.
What finding would the nurse expect to assess in a child with hypothyroidism?
weight gain
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
