Endocrine Practice Q's

Which treatment would the nurse suggest to an adolescent with T1DM if an insulin reaction is experienced while the adolescent is at a basketball game?

*"Buy a soda and a hamburger to eat"*

Which information will the nurse include when providing education to the family of an adolescent recently diagnosed with T2DM?

*"The most important interventions are good nutrition and portion control"*

The nurse is planning to teach a 9-year-old child with T1DM to perform BG monitoring. Which information would the nurse use as a basis for the teaching?

*A child this age can maintain the glucose level in the mortal range by changing insulin needs accordingly* -Show them with nondedicated pen first when teaching -Priority teaching is exploring the child's feelings about diabetes

Which long-term effect is associated with untreated congenital hypothyroidism?

*Cognitive impairment* -Decreased thyroid level affects fetus before birth during cerebral development -Treatments before 3 months will prevent further damage

A client is being treated for pituitary Cushing syndrome. The nurse anticipates that which medication will be prescribed?

*Cyproheptadine*

Which outcome would be expected after a client received treatment for Cushing disease?

*Decreased blood glucose levels*

Which disorder is caused by the deficiency of ADH?

*Diabetes Insipidus*

One principle to be followed for children with T1DM is to provide variability of the child's activity. Which would the nurse teach the child about how to compensate for increased physical activity?

*Eat more food when planning to exercise more than usual*

Which cause of Cushing syndrome would the nurse consider before assessing a client for physiological response?

*Hyperplasia of the adrenal cortex* -Excess cortical hormones

Which clinical manifestation is observed in a client with adrenal insufficiency?

*Hyponatremia*

Which complication associated with T1DM should the nurse include in the teaching plan for parents of a newly diagnosed child?

*Ketoacidosis*

A child with T1DM has difficulty measuring the required insulin dose and frequently draws up 42 units instead of 24 units. Which is the most appropriate intervention to ensure dosage safety?

*Providing the child with a preset syringe that was developed for the visually impaired*

Which statements describe gynecomastia?

-Bilateral or unilateral enlargement of breasts in adolescent boys -An unusual physical change during the growth and development of sexual organs -Subsides on its own

The nurse reviews lab values and suspects hypo functioning of the adrenal gland based on which results?

-Increased calcium -Decreased cortisol -Decreased sodium -Hyperfunction of adrenal = decreased potassium and bicarbonate

An adolescent with a BMI of 30 reports fatigue, frequent urination, and a tingling sensation on the feet, he is them diagnosed with T2DM. Which nursing interventions would be appropriate?

-Physical activities -Dietary counseling -Behavior modification