Endocrine - The Point Questions
"Special cells in a part of your body called the pancreas can't make a chemical called insulin, which helps control the sugar level in your blood."
A 10-year-old boy has been diagnosed with type 1 diabetes mellitus. He is curious about what the cause of his disease is and asks the nurse to explain it to him. What explanation is best?
Pituitary function test. MRI. CT scan.
A 6-year-old child is being evaluated for growth hormone dysfunction. Which tests will be employed in the diagnostic workup? Select all that apply.
The child may have developed leukopenia.
A 9-year-old child with Graves' disease is seen at the pediatrician's office with a complaint of sore throat and fever. The nurse notes in the history that the child is taking propylthiouracil. Which of the following would concern the nurse?
Hypocalcemia
A child is diagnosed with hypoparathyroidism. Which electrolyte imbalance would the nurse most likely expect to address?
Diabetic ketoacidosis
After teaching a group of students about endocrine disorders, the instructor determines that the teaching was successful when the students identify insulin deficiency, increased levels of counterregulatory hormones, and dehydration as the primary cause of which condition?
Precocious puberty
An 8-year-old child is seen for moodiness and irritability. The child has begun to develop breast and pubic hair and the parents are concerned that these changes are occurring at too early an age. Which would the nurse suspect?
Jitteriness
Shortly after delivery, a newborn is diagnosed with hypocalcemia. What manifestation will the nurse assess in this patient?
Explore the girl's perception of her body image and health status.
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." Which of the following actions should the nurse take first?
Instructing the child to rotate injection sites
The nurse is teaching an 11-year-old boy and his family how to manage his diabetes. Which instruction does not focus on glucose management?
Within 15 to 30 minutes
The nurse measures the client's blood glucose level prior to breakfast. The measurement obtained is 130 mg/dL. The orders read to administer 2 units of Humalog insulin for a blood glucose of 100 to 150mg/dL. How soon should the nurse ensure that the client eats their breakfast after receiving their insulin?
Low T4 level and high TSH level
Which results would indicate to the nurse the possibility that a neonate has congenital hypothyroidism?
"My older daughter started her period when she was only 10 years old." "My daughter talks about having headaches all the time." "Sometimes at home my daughter gets aggressive with her younger siblings." "The teachers at school say she is moody."
A 9-year-old girl is being evaluated for precocious puberty. What information from the child's mother is consistent with this condition? Select all that apply.
Do not mix this insulin with other insulins.
A child is prescribed glargine (Lantus) insulin. What information would the nurse include when teaching the child and parents about this insulin?
Assess the client for allergies
The primary health care provider has ordered a thyroid scan to confirm the diagnosis of hyperthyroidism. Which would the nurse do before the scan?
Checking vital signs
A child with a history of diabetes insipidus is admitted with polyuria, polydipsia and mental confusion. Which action would be the priority?
"We should blow the liquid out of the tubing into the nose." "We can repeat the dose if he sneezes right after he takes the medication." "We'll make sure our child clears out his nose before using the medication."
A child with central diabetes insipidus is prescribed desmopressin (DDAVP) intranasally. After teaching the child and parents about this medication, the nurse determines that the teaching was successful when the parents make which statements? Select all that apply.
Daily, 6 to 7 days a week
A child with growth hormone deficiency is prescribed growth hormone (GH) by subcutaneous injection. When teaching the child's parents about this drug, the nurse would instruct the parents to administer the drug at which frequency?
Metformin
A group of students are reviewing information about oral diabetic agents. The students demonstrate understanding of these agents when they identify which agent as reducing glucose production from the liver?
"Check your glucose level twice a day and the glycosylated hemoglobin every 3 months."
A nurse educating a 13-year-old adolescent with diabetes mellitus about how to self-monitor and control the disease. Which of the following statements by the nurse would promote a healthy way to self-control the disease?
