2920. Exam 5
The nurse is caring for a 7-year-old with glomerulonephritis. Which of the following findings requires immediate attention?
The child complains of a severe headache and photophobia. * These can be signs of encephalopathy due to hypertension.
A school-aged child comes in with a sore throat and fever. The child was recently diagnosed with Graves disease and is taking propylthiouracil. What concerns should the nurse have about this child?
The child may have leukopenia. * Propylthiouracil is used to suppress thyroid function.
A teen comes to the clinic complaining of being stressed recently. The teen is being treated for Addison disease and is taking cortisol and aldosterone orally. Today, the teen has muscle weakness, fatigue, salt craving, and dehydration. What should the nurse discuss regarding the medications?
The dosages may need to be increased in times of stress. * Because the adrenal glands are not producing enough glucocorticoids, the dosage of both the cortisol and aldosterone must be increased and sometimes tripled in times of stress.
Which descriptive terms should be used to describe a school-aged child with myxedematous skin/eyes/hair changes?
The eyes are puffy, the hair is sparse, and the skin is dry. * Myxedema is characteristic of hypothyroid dysfunction and may be accompanied by slowness of movements and mental dullness.
A school-aged girl is working on a school project on glands and asks the clinic nurse to explain the function of the thymus gland. Which answer would the nurse provide her?
The gland helps with immunity in fetal life and early childhood.
The nurse is caring for a 10-year-old post parathyroidectomy. Discharge teaching should include which of the following?
The importance of supplemental calcium in the diet. * The parathyroid is responsible for calcium reabsorption.
The nurse is caring for a 4-year-old who weighs 15 kg. At the end of a 10-hour period, the nurse notes the urine output to be 150 mL. What action does the nurse take?
The nurse records the patient's urine output in the chart. * The urine output is within the expected range of 0.5-1 mL/kg/hr.
A 3-year-old has a recurrent UTI. She had a UTI 3 months ago and was treated with an oral antibiotic. A follow-up urinalysis revealed results within normal range. The child has had no other problems until this visit. Choose the nurse's best response.
The nurse should prepare for the following tests: urinalysis, urine culture, and VCUG. * Urinalysis and urine culture are routinely used to diagnose UTIs. VCUG (voiding cystourethrogram) is used to determine the extent of urinary tract involvement when the child has a second UTI within 1 year.
Which would the school nurse expect in a student who has an insulin-to-carbohydrate ratio of 1:10?
The student administers 1 U of regular insulin for every 10 grams of carbohydrate consumed. * An insulin-to-carbohydrate ratio refers to the amount of insulin given per gram of carbohydrate.
The nurse is reviewing the pathophysiology of HUS. The manifestations of the disease are due primarily to which of the following events?
The swollen lining of the small blood vessels damages the red blood cells, which are then removed by the spleen, leading to anemia. * HUS: Hemolytic Uremic Syndrome.
What should the parent of a child with diabetes insipidus (DI) be taught about administering desmopressin acetate nasal spray? SATA.
The use of the flexible nasal tube. Nasal congestion causes this route to be ineffective. The medication should be administered every 8 to 12 hours. Overmedication results in signs of SIADH.
A newborn develops tetany and has a seizure prior to discharge from the nursery. The newborn is diagnosed with hypocalcemia secondary to hypoparathyroidism and is started on calcium and vitamin D. Which info would be most important to teach the parents?
They should observe for weakness, nausea, vomiting, and diarrhea. * Vitamin D toxicity (weakness, nausea, vomiting, and diarrhea) is a serious consequence of therapy.
A 13-year-old with type 2 DM asks the nurse, "Why do I need to have this hemoglobin A1c test?" The nurse's response is based on which of the following?
To determine how controlled the child's blood sugar has been. * Hemoglobin A1c, or glycosylated hemoglobin, reflects average blood glucose levels over 2 to 3 months.
The nurse knows that which of the following causes the symptoms seen in testicular torsion?
Twisting of the spermatic cord interrupts the blood supply.
Hypofunction of which endocrine gland might cause type 2 DM?
Type 2 DM can be caused by a slowed response of the pancreas.
Which is the reason a student takes metformin (Glucophage) three times a day?
Type 2 diabetes mellitus.
A nurse is caring for an infant who is fussy and has diabetes insipidus. Which parameter should the nurse monitor while the infant is on fluid restrictions?
Urine output. * The infant with DI has hyposecretion of ADH, and fluid restriction has little effect on urine formation. This infant is at risk for dehydration and fluid/electrolyte imbalances.
An 8-month-old is being evaluated for a UTI. A urinalysis and urine culture are ordered. Which of the following is the best way to obtain the urine sample?
Using a straight catheter, obtain the sample, and immediately remove the catheter without waiting for the results of the urine sample. * An in-and-out catheterization is the best way to obtain a urine culture in a child who is not yet toilet-trained.
The nurse is taking care of a 10-year-old diagnosed with Graves disease. Which could the nurse expect this child to have recently had?
Weight loss, difficulty sleeping, and heat sensitivity. * This all occurs when the thyroid gland is hyper functional.
A parent with a toddler who has ambiguous genitalia asks the nurse how long it will be before the child identifies his or her gender. Which is the best answer?
"A child knows his or her gender by the age of 18 to 30 months."
The nurse is providing discharge instructions to the parents of an infant born with bladder exstrophy who had a continent urinary reservoir placed. Which of the following statements should be included?
"As your child grows, be cautious around playgrounds because the surface could be a health hazard." * Many children with urological malformations are prone to latex allergies. The surfaces of playgrounds are often made of rubber, which contains latex.
The nurse is caring for a newborn male with hypospadias. His parents ask if circumcision is an option. Which is the nurse's best response?
"Circumcision is an option, but it cannot be done at this time." * Circumcision should be delayed because the foreskin may be needed for repair of the defect.
The parent of a 3-year-old is shocked to hear the diagnosis of Wilms tumor and says, "How could I have missed a lump this big?" What is the nurse's best response?
"Do not blame yourself. This mass grows so fast that it was probably not noticeable a few days ago."
A 13-month-old is being discharged following the repair of his epispadias. Which of the following statements made by the parents indicate that they understand the discharge teaching?
"If a mucous plug forms in the urinary drainage tube, we will irrigate it gently to prevent a blockage."
The nurse is speaking to the parents of an infant with an inguinal hernia. The nurse knows the parents understand the teaching when they say which of the following?
"It is normal for the bulge in the baby's groin to look smaller when the baby is asleep."
The school nurse is talking to a 14-year-old about managing type 1 DM. Which statement indicates the student's understanding of the disease?
"It really does not matter what type of carbohydrate I eat as long as I take the right amount of insulin." * A carb is a carb, and insulin dosing is based on blood sugar level and carbohydrates to be eaten.
A child with Addison disease takes oral cortisol supplements and receives monthly injections of desoxycorticosterone acetate injections. What teaching should be done at each visit for the injections?
"Keep an extra month's supply of all meds on hand at all times." * This will enable the family to treat an impending adrenal crisis before it gets severe.
At a well-child health screening, the parent of a 7-year-old voices concern over the child's continued bed-wetting at night. The parent, on going to bed, has tried getting the child up at 11:30 p.m., but the child still wakes up wet. What is the nurse's best response about what the parent should do next?
"Limit fluids in the evening, and start a reward system in which your child can choose a reward after a certain number of dry nights." * Allowing the child to choose a reward will increase the child's sense of control.
The nurse has completed discharge teaching for the family of a 10-year-old diagnosed with diabetes insipidus (DI). Which statement best demonstrates the family's correct understanding of DI?
"My child will have to use the bathroom more often than other children." * Despite the use of vasopressin to treat the symptoms of DI, breakthrough urination is likely.
A 5-year-old is hospitalized with MCNS. The nurse obtains a history from the parents. Which statement by the parents is most consistent with MCNS?
"Our child missed 2 days of school last week because of a really bad cold." * An upper respiratory infection often precedes MCNS (minimal change nephrotic syndrome) by a few days.
The parents of a child hospitalized with MCNS ask why the last blood test revealed elevated lipids. What is the nurse's best response?
"Since your child is losing so much protein, the liver is stimulated and ends up making more lipids." * In MCNS, the lipids are truly elevated.
A 6-week-old male is scheduled for a hypospadias and chordee repair. The parent tells the nurse, "I understand why the hypospadias repair is necessary, but do they have to fix the chordee as well?" What is the nurse's best response?
"The repair is done to optimize his sexual function when he is older."
The parents of a 6-week-old male ask the nurse if there is a difference between an inguinal hernia and a hydrocele. What is the nurse's best response?
"The symptoms are similar, but an inguinal hernia occurs when tissue protrudes into the groin, whereas a hydrocele is a fluid-filled mass in the groin."
The nurse is caring for a child who has just been diagnosed with a Wilms tumor. The child is scheduled for a MRI of the lungs. The parents ask the nurse the reason for this test as a Wilms tumor involves the kidney, not the lung. What is the nurse's best response?
"The test is done to check to see if the disease has spread to the lungs."
A nurse is working with a child who has had a bone age evaluation. Which explanation of the test should the nurse give?
"The x-ray of the bones is compared with that of the age-appropriate, standardized bone age." * It evaluates the epiphyseal growth centers of the bone using standardized tables.
The parents of a child with glomerulonephritis ask the nurse why the urine is such a funny color. What is the nurse's best response?
"There is blood in your child's urine that causes it to be tea-colored."
A 3-year-old returns to the pediatric clinic after having had MCNS. His parents ask the nurse how to prevent the child from having it again. What is the nurse's best response?
"Try to keep your child away from sick children because relapses have been associated with infectious illnesses." * Exposure to infectious illness has been linked to the relapse of nephrotic syndrome.
Endo. Success book. Ch. 10. At a follow-up visit for an 8-year-old who is being evaluated for short stature, the nurse measures and plots the child's height on the growth chart. Which explanation should the nurse give the child and family?
"We need to see how much you have grown since your last visit." * Height velocity is the most important aspect of a growth evaluation and can demonstrate deceleration in growth if it is present.
The nurse knows that the parent of a 13-year-old male understands postoperative teaching for a repair of testicular torsion by saying which the following?
"We will make sure he knows how to do testicular self-examination on a monthly basis."
The nurse is obtaining the medical history of an 11-year-old diagnosed with hypopituitarism. An important question for the nurse to ask the parents is which of the following?
"What time of day do you administer growth hormone?"
A 5-year-old is being discharged following HUS. The child has been free of diarrhea for 1 week, and renal function has returned. The parent asks the nurse when the child can return to school. What is the nurse's best response?
"Your child will be contagious for approximately another 10 days, so it is best to not allow a return just yet." * Children with HUS are contagious 17 days after the resolution of diarrhea and should be placed on contact isolation.
The parents of a child with glomerulonephritis ask how will they know that the condition is improving after they take their child home. What is the nurse's best response?
"Your child's urine output will increase, and the urine will become less tea-colored."
The nurse is interviewing the parent of a 9-year-old girl. The parent expresses concern because the daughter already has pubic hair and is starting to develop breasts. Which statement would be most appropriate?
"Your daughter is experiencing body changes that are appropriate for her age."
Which tests could be utilized to determine cortisol levels in a child with suspected Cushing syndrome? Select all that apply.
-24-hour urine for 17-hydroxycorticoids. -Cortisone suppression test.
A 6-year-old is diagnosed with growth hormone deficiency. A prescription is written for a dose of 0.025 mg/kg of somatotropin subcut three times weekly. The child weighs 27 kg (59.4 lb). What dose of medication should the nurse administer three times weekly?
0.675 mg. * Multiplying 27 kg by the med prescribed at 0.025 mg/kg. The total dosage needed is 0.675 mg.
Which hormones does the anterior pituitary secrete? Select all that apply.
2. Luteinizing hormone. 3. Prolactin (luteotropic hormone). 4. ACTH. * A:Ant/ACTH; P:Pit/Prolactin; L:Lets off:Luteinizing.
Ch 9. Success book. Genitourinary. The nurse is reviewing the basic anatomy and physiology of the genitourinary system. The nurse knows that the bladder capacity of a 3-year-old could be approximately how much?
5 oz. * The capacity of the bladder can be estimated by adding 2 to the child's age in years.
On reviewing information about glomerulonephritis, the nurse knows that which of the following children is at risk for developing the disease?
A 3-year-old who had impetigo 1 week ago. * Impetigo is a skin infection caused by the streptococcal organism that is commonly associated with glomerulonephritis.
The nurse understands that the clinical manifestations in hydronephrosis are due to which of the following?
A structural abnormality in the urinary system causes urine to back up and can cause pressure and cell death.
The nurse is working in the ED when an infant with a diagnosis of incarcerated hernia is brought in. The nurse would expect to hear the parents report a history of which of the following?
Acute onset of pain, abdominal distention, and a mass that cannot be reduced. * Other signs are bloody stools, edema of the scrotum, and a history of poor feeding.
A 3-year-old is admitted to the pediatric unit with a diagnosis of HUS. The child is very pale and lethargic. Stools have progressed from watery to bloody diarrhea. Blood work indicates low H & H. The child has not had any urine output in 24 hours. The nurse expects which of the following to be added to the plan of care?
Administration of blood products and initiation of dialysis. * Blood products will control the anemia. Because the child is symptomatic, dialysis is the treatment of choice.
The nurse is caring for a 2-year-old hospitalized with MCNS. The edema has progressed from periorbital to generalized. The skin appears stretched, and areas of breakdown are noted over the bony prominences. The child has been receiving Lasix twice daily for several days. In order to reduce edema, which of the following does the nurse expect to be included in the treatment plan?
Administration of intravenous albumin. * In cases of severe edema, albumin is used to help return the fluid to the bloodstream from the subcutaneous tissue.
The nurse is working in a pediatric urgent care clinic. Which of the following patients can be discharged without the need for a urinalysis to evaluate for a UTI?
An 8-year-old male who presents with a finger laceration; his mother states he had surgical reimplantation of his ureters 2 years ago. * Although this child has had a history of urinary infections, the child is currently not displaying any signs.
A 7-year-old is diagnosed with central precocious puberty. The child is to receive a monthly IM injection of leuprolide acetate (Lupron). The child has great fear of pain and needles and requires considerable stress reduction techniques each time an injection is due. What could the nurse suggest that might help manage the pain?
Apply a eutectic mixture of local anesthetics (EMLA) of lidocaine and prilocaine. * Having the child assist in putting on the EMLA patch involves the child in the process.
A newborn is diagnosed with bladder exstrophy that includes a malformed pelvis. Which of the following is a priority of care?
Change the diaper frequently and assess for skin breakdown.
The nurse is teaching the family about caring for their 7-year-old, who has been diagnosed with type 1 DM. What info should the nurse provide about this condition?
Characterized mainly by insulin deficiency. * Individuals with type 1 DM do not produce insulin.
The nurse caring for a 14-year-old girl with diabetes insipidus understands which of the following about this disorder?
DI is treated with vasopressin on a lifelong basis.
The nurse knows that which of the following need to be present to diagnose HUS?
Decreased RBCs with a high reticulocyte count, decreased platelet count, and renal failure.
A baby has hypertension as a result of partial 21-hydroxylase deficiency. The parents ask the nurse to clarify why the baby is being sent home on cortisone. Which is the nurse's best response about cortisone? It:
Depresses the secretion of ACTH. * ACTH increases cardiac activity, constricts blood vessels, and leads to hypertension.
The family of a young child has been told the child has diabetes insipidus (DI). What info should the nurse emphasize to the family?
Diabetes insipidus is different from DM. * DI is a rare condition that affects the posterior pituitary gland, whereas DM is a more common condition that affects the pancreas.
A 13-year-old is being seen for an annual physical exam. The child has lost 10 lb despite reports of excellent appetite. Appearance is normal, except for slightly protruding eyeballs, and the parents report the child has had difficulty sleeping lately. The nurse should do which of the following?
Discuss the plan for thyroid function tests. * It is expected that T4 and T3 levels would be elevated, as the thyroid gland is over functioning.
The nurse caring for a patient with type 1 DM is teaching how to self-administer insulin. Which is the proper injection technique?
Elevate the subcutaneous tissue before injection. * Skin tissue is elevated to prevent injection into the muscle when giving a subcutaneous injection. Insulin is only given subcutaneously.
A teen who was hospitalized for chronic renal failure (CRF) develops symptoms of polyuria, polydipsia, and bone pain. Which body mineral might be causing these symptoms?
Elevated calcium. * One common cause of secondary hyperparathyroidism is chronic renal disease. Blood studies indicate very high levels of calcium because the kidney is unable to process it.
A 12-year-old comes to the clinic with a diagnosis of Graves disease. What info should the nurse discuss with the child?
Encourage the child to take responsibility for daily medications. * The child still needs family supervision but should not be completely dependent on family for care.
A 6-year-old white girl comes with her mother for evaluation of her acne, breast buds, axillary hair, and body odor. What info should the nurse explain to them?
Encourage the girl to dress and act appropriately for her chronological age.
The adrenal cortex secretes sex hormones. Identify which hormones would result in feminization of a young male child. Select all that apply.
Estrogen. Progesterone.
The nurse is caring for a 3-week-old female diagnosed with an inguinal hernia. The nurse knows that which of the following protruding into the groin most likely caused the inguinal hernia?
Fallopian tube. * Fallopian tube or an ovary is the most common tissue to protrude into the groin in females.
A toddler is being evaluated for syndrome of inappropriate antidiuretic hormone. The nurse should observe the child for which symptoms? SATA.
Fluid retention. Hyponatremia. * ADH subsequently decreases serum osmolarity while the urine osmolarity rises. When sodium drops below 120, the child becomes symptomatic.
A child has constant hunger, constant thirst, frequent urination, and recent weight loss without dieting. Which can the nurse expect to be included in care for this child?
Frequent blood glucose testing. * The symptoms are characteristic of a child just prior to the diagnosis of type 1 DM.
An infant is born with ambiguous genitalia. Genetic testing and an ultrasound are ordered. The infant has a large clitoris, but there is no vaginal orifice. The labia appear to be sac-like, darkened tissue. No testes are located. What suggestion should the nurse offer the family?
Give the baby a neutral name that fits either a boy or a girl. * This enables the family and child to gradually adjust to the baby's medical condition and sex.
A child with adrenal insufficiency is sick with influenza. The parent calls the office and wants to know what to do. What is the first thing the nurse should advise this parent?
Give the child a dose of hydrocortisone, and bring the child to the office. * When these children are ill, the situation can be life threatening. The family should administer hydrocortisone IM and bring the child to the office.
Parents bring their teen to the clinic with a tender, enlarged right breast. The nurse explains that which hormone(s) secreted by the anterior pituitary influence(s) this process?
Gonadotropin. * The gonadotropins stimulate the gonads to mature and produce sex hormones.
The school nurse notices that a 14-year-old who used to be an excellent student and very active in sports is losing weight and acting nervous. The teen was recently checked by the provider, who noted the teen had a very low level of TSH. The nurse recognizes that the teen has which condition?
Graves disease. * Graves disease is hyperthyroidism and presents with low TSH levels, weight loss, and excessive nervousness.
What key info should be explained to the family of a 3-year-old who has short stature and abnormal lab test results?
Growth hormone levels in children are so low that stimulation testing must be done. * The need for additional testing requires explanation. The abnormal IGF-1 and insulin-like growth factor binding protein require a definitive diagnosis.
A 16-month-old with HUS has had blood and urine samples sent to the laboratory. Which of the following results are most consistent with his HUS?
Hematuria, mild proteinuria, increased blood urea nitrogen, and creatinine. * Ketonuria is not associated with HUS.
Exophthalmic goiter is caused by hyperfunction of which endocrine gland?
Hyperfunction of the thyroid may result in exophthalmic goiter.
A school-aged child is diagnosed with bilateral pheochromocytomas. Which clinical manifestations should the nurse check for in this child?
Hypertension headache, and decreased gastrointestinal activity. * A pheochromocytoma is a rare tumor of the adrenal glands that secretes excess catecholamines (such as epinephrine, norepinephrine, and dopamine).
A 7-year-old is tested for diabetes insipidus. 24-hours after his fluid restriction has begun, the nurse notes that his urine continues to be clear and pale, with a low specific gravity. Which is the most likely reason for this?
In DI, fluid restriction does not cause urine concentration.
A 20-month-old is admitted with hydronephrosis. The nurse notes which of the following findings?
Increased blood pressure, metabolic acidosis, polydipsia, polyuria, and bacterial growth in the urine. * The BP is increased as the body attempts to compensate for the decreased GFR.
The nurse is caring for a 4-year-old child with a Wilms tumor. Which of the following would the nurse expect to find on assessment?
Increased blood pressure, temperature within normal limits, and a firm mass located on one side or the other of the midline of the abdomen. * BP is increased with renal damage.
The nurse is teaching the family about MCNS and explains that the clinical manifestations are due to which of the following?
Increased permeability of the glomeruli. * Increased permeability allows large substances such as protein to pass through and be excreted in the urine.
The nurse is instructing a group of girls and parents about the importance of preventing UTIs. Which of the following should the nurse teach?
Increasing fluids will help prevent and treat UTIs. * Increasing fluids will flush the bladder of organism, encouraging urination, and preventing stasis of urine.
A child is brought to the ED with what is presumed to be acute adrenocortical insufficiency. Which of the following should the nurse do first?
Insert an IV line to administer fluids and cortisol. * Initially, in the ED the child will be given an IV line, vital signs will be taken frequently, and seizure precautions will be taken.
A 16-month-old is admitted to the pediatric unit with a diagnosis of hydronephrosis. Which of the following should be included in the plan of care?
Intake and output as well as vital signs should be strictly monitored. * Fluid is monitored to ensure adequate urinary output. Assessing BP monitors kidney function.
A teen comes into the clinic with anxiety. Over the last 2 weeks, the teen has had some muscle twitching and has a positive Chvostek sign. Which explanation could the nurse provide about a Chvostek sign?
It is a facial muscle spasm elicited by tapping the facial nerve. * Chvostek sign indicates heightened neuromuscular activity, and leads the nurse to suspect hypoparathyroidism.
The nurse is assigned to care for a newborn with goiter. The nurse's primary concern is which of the following?
Maintaining a patent airway and preparing for emergency ventilation. * Goiter in a newborn can cause tracheal compression, and positioning to help relieve pressure is essential.
Which is the most likely reason an adolescent with diabetes has problems with low self-esteem?
Managing diabetes complicates perceived ability to "fit in." * Limitations can negatively affect self-esteem & it is an essential concept for the nurse to understand.
The nurse is caring for a 7-year-old with glomerulonephritis. Which of the following combinations of signs is commonly associated with glomerulonephritis?
Mild proteinuria, hematuria, decreased urinary output, and lethargy. * Increased urine output is not associated with glomerulonephritis.
An 8-year-old with type 1 DM is complaining of a headache, dizziness, and is perspiring. Which of the following should the nurse do first?
Offer the child 8 oz of milk. * Milk is best to give for mild hypoglycemia. Glucagon is given only for severe hypoglycemia.
Which med would most likely be included in the postoperative care of a child with repair of bladder exstrophy?
Oxybutynin. * It is used to control bladder spasms.
Hyperfunction of which endocrine gland might cause Cushing syndrome?
Pituitary gland. * Cushing syndrome results from too much circulating cortisol.
The parent brings the growth record along with the 21-month-old child to a new clinic for a well-child visit. Birth weight was 8 lb; 6-month was 16 lb; 12-month was 18 lb; and 15-month was 19 lb. With the record showing that the toddler's weight-for-age has been decreasing, the nurse should do what initially?
Point out the growth chart to the new provider. * Pictorial info can then be reviewed with the parent.
A toddler is admitted to the pediatric floor for hypopituitarism following removal of a craniopharyngioma. The toddler has polyuria, polydipsia, and dehydration. Which area of the brain was most affected by the surgery?
Posterior pituitary. * The post pit is responsible for ADH secretion and control of the renal tubules. The symptoms are those of DI.
A 12-year-old with type 2 DM presents with a fever and a 2-day history of vomiting. The nurse observes fruity odor breath and breathing is deep and rapid. Which should the nurse do first?
Prepare the child for an IV infusion. * This patient needs fluid and electrolyte therapy to restore tissue perfusion prior to beginning IV insulin therapy.
Which is an important nursing intervention for a child with a diagnosis of hyperthyroidism?
Promote opportunities for periods of rest. * Increased activity is seen in hyperthyroidism.
The most appropriate nursing diagnosis for a child with type 1 diabetes mellitus is which of the following?
Risk for infection related to reduced body defenses. * DM affects the peripheral circulation and impairs defense mechanisms.
The nurse in a diabetic clinic sees a 10-year-old who is a new diabetic and has had trouble maintaining blood glucose levels within normal limits. The patient's parent states the child has had several daytime "accidents." The nurse knows that this is referred to as which of the following?
Secondary enuresis.
The thyroid gland secretes two types of hormones, thyroid hormone (TH) and thyrocalcitonin (TC). Mark TH or TC in the correct spaces below.
TH regulates the basal metabolic rate and thereby controls growth and tissue differentiation. TC = maintenance of blood calcium levels by decreasing calcium concentrations in the blood.
The nurse is instructing a family on the side effects of oral cortisone. What aspects of administering the medication should the nurse emphasize?
Taking the medication with food to decrease gastric irritation.
A 2-year-old is admitted to the pediatric floor with a diagnosis of HUS (Hemolytic Uremic Syndrome). Which of the following would the nurse likely find in the child's history?
The child and parents had vomiting and diarrhea, but the parents believe it was due to "probably something that they ate." * HUS is often preceded by diarrhea that may be caused by E. coli present in undercooked meat.
