305 practice endocrine ?s
risk for infertility
A female adolescent comes to the clinic with symptoms of delayed puberty. The nurse discusses sexual development with the adolescent, the beginning of menstruation, and how to take the low-dose estrogen product. What additional topic is most important for the nurse to discuss with the adolescent?
Syndrome of inappropriate antidiuretic hormone
A 12-year-old boy arrives at the emergency room experiencing nausea, vomiting, headache, and seizures. He is diagnosed with bacterial meningitis. Other findings include a decrease in urine production, hyponatremia, and water intoxication. Which pituitary gland disorder would be most associated with these symptoms?
"So, hypothyroidism can be treated by exposing our baby to a special light, right?"
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?
Administer subcutaneous glucagon.
The school nurse notes that a child diagnosed with diabetes mellitus is experiencing an insulin reaction and is unable to eat or drink. Which action would be the most appropriate for the school nurse to take?
1.cooling blanket 2. continuous cardiac monitoring 3. decrease stimulation, such as turning off lights and television
The nurse is caring for a child who has developed thyroid storm. What intervention(s) will the nurse initiate?
Desmopressin acetate is a synthetic antidiuretic hormone that will slow down your urine output.
A child has been prescribed desmopressin acetate for the treatment of diabetes insipidus. The client and the parents ask the nurse how this drug works. What is the correct response by the nurse?
"Drink plenty of fluids because you need to have a full bladder."
A 15-year-old adolescent is scheduled for a pelvic ultrasound to evaluate for a possible ovarian cyst. Which instruction by the nurse would be most appropriate?
tumor of the adrenal cortex
A 6-year-old boy has a moon-face, stocky appearance but with thin arms and legs. His cheeks are unusually ruddy. He is diagnosed with Cushing syndrome. What is the most likely cause of this condition in this child?
The child may have developed leukopenia.
A 9-year-old child with Graves disease is seen at the pediatrician's office reporting sore throat and fever. The nurse notes in the history that the child is taking propylthiouracil. Which of the following would concern the nurse?
Encourage high-calorie beverages.
The nurse is caring for a child with central diabetes insipidus who is underweight. Which nursing intervention is appropriate for this child?
insulin
The nurse is interpreting the negative feedback system that controls endocrine function. What secretion will the nurse correlate as decreasing while blood glucose levels decrease?
Low T4 level and high TSH level
Which results would indicate to the nurse the possibility that a neonate has congenital hypothyroidism?