RICCI Peds Review Exam 1 - Chapter 48

Dwarfism is due to a growth hormone .....?

DEFICIENCY

Opthalmic changes, due to hypothyroidism, include.....

EXOPTHALMOS which is less pronounced in children

The presence of a goiter is typically associated with ...?

HYPERTHYROIDISM

Slow deep respirations are a characteristic of air hunger during metabolic acidosis

KUSSMAUL breathing

Insulin is developed and secreted by beta cells, located in the islet of .......? in the pancreas

LANGERHANS

The most common initial symptoms of diabetes mellitus reported are ....?

POLYURIA and polydipsia

Twitching of the extremities, referred to as .....?

TETANY is related to hypocalemia in children with hypoparathyroidism

Hyperthyroidism

Tiredness/ fatigue Constipation Cold intolerance Weight gain Dry, thick skin Edema on the face eyes and hands Decreased growth

1. Which adolescents may have delayed puberty? SELECT ALL THAT APPLY a. 14-year old female who has not developed breasts b. 13-year old female who has no pubic hair c. 15-year old male who has had no changes in the size of the testicles d. 14-year old male who has no pubic hair e. 13-year old male who has had no changes in the appearance of this scrotum

a. 14 year old female who has not developed breasts c. 15 year old male who has had no changes in the size of the testicles

The nurse is caring for an obese 15-year old girl who missed 2 periods and is afraid she is pregnant. Which finding indicates polycystic ovary syndrome? a. Acanthosis nigricans b. Blurred vision and headaches c. Increased respiratory rate d. Hypertrophy and weakness

a. Acanthosis nigricans (hyperpigmentation)

List insulin based on duration of action (shortest -longest) a. Lispro b. Humulin R c. Humulin N d. Lantus

a. Lispro b. Humulin R c. Humulin N d. Lantus

The nurse is assessing a 7-year old girl with a headache, irritability, and vomiting. Her health history reveals she has had meningitis. Which intervention is priority? a. Notifying the physician of neurologic findings b. Setting up safety precautions to prevent injury c. Monitor urine volume and specific gravity d. Restoring fluid balance with IV sodium

a. Notifying the physician of neurological findings

1. The nurse is caring for a 10-year old girl with hyperparathyroidism, which would be a primary nursing diagnosis for this child? a. Disturbed body image related to hormone dysfunction b. Imbalanced nutrition: more than body requirements c. Deficient fluid volume related to electrolyte imbalance d. Deficient knowledge related to treatment of the disease

c. deficient fluid volume related to electrolyte imbalances

The nurse is caring for a 4-year old boy during a growth hormone stimulation test. Which task is a priority in the care of this child? a. Providing a wet washcloth to suck b. Educating the family about side effects c. Monitoring blood glucose levels d. Monitoring intake and output

c. monitoring blood glucose levels

The nurse is providing care for an 11 year old boy with hyperparathyroidism. Which intervention is a priority? a. Providing administration of calcium and vitamin D b. Ensuring patency of the IV site to prevent tissue damage c. Monitoring fluid intake and urinary calcium output d. Administering intravenous calcium gluconate as ordered

d. Administering intravenous calcium gluconate as ordered

The nurse is caring for a 12-year old girl with hypothyroidism. Which information should be part of the nurses teaching plan for the child and family? a. How to recognize vitamin D toxicity b. How to maintain fluid intake regimens c. Administering methimazole with meals d. Reporting irritability or anxiety

d. reporting irritability or anxiety

The nurse is assessing a 16-year old boy who has had long-term corticosteroid therapy. Which finding, along with the use of corticosteroids, indicates Cushing disease? a. History of rapid weight gain b. Round, child-like face c. High weight to height ratio d. Delayed dentition

a. history of rapid weight gain

Hypothyroidism s/s

Anxiety Diarrhea Heat intolerance Weight loss Smooth, velvet like skin

The child may have developed thyroid storm. Which clinical manifestations of thyroid storm should the nurse expect to find? SELECT ALL THAT APPLY a. Temperature of 103.2F (39.6C) b. Wet bed linen and the report of feeling "sweaty" c. Apical heart rate of 172 beats per minute d. Reports of feeling very tired and wanting to nap Mild-mannered and compliant demeanor

a. temperature of 103 b. wet bed linen and the report of feeling "sweaty" c. apical heart rate of 172 bpm

1. The nurse is assessing a 4-year old girl with ambiguous genitalia. Which finding suggests congenital adrenal hyperplasia? a. Irregular heartbeat on auscultation b. Pubic hair and hirsutism c. Pain from constipation on palpation d. Hyperpigmentation of the skin

b. Pubic hair and hirsutism

1. The nurse is assessing a 1-month old girl who, according to the mother, doesn't eat well. Which assessment suggests the child has congenital hypothyroidism? a. Frequent diarrhea b. Enlarged tongue c. Tachycardia d. Warm, moist skin

b. enlarged tongue

The nurse is teaching an 11-year old boy and his family about how to manage his diabetes. Which instruction does not focus on glucose management? a. Teaching that 50% of daily calories should be carbohydrates b. Instructing the child to rotate injection sites c. Encouraging the child to maintain the proper injection schedule Promoting higher levels of exercise than previously maintained

b. instructing the child to rotate injection sites