Peds test bank
Which type of diet should be included in the plan of care for a child diagnosed with Addison disease?
A. High-protein, low-carbohydrate, high-sodium diet
A 10-year-old child is newly diagnosed with type 1 diabetes. The child's hemoglobin A1C level is being monitored. The nurse determines that additional intervention is needed with the child based on which result?
A. 8.5%
The nurse is speaking with the parents of a school-aged child recently diagnosed with diabetes mellitus regarding the differences between hypoglycemia and hyperglycemia. Which statement by a parent indicates a need for further teaching?
"If I notice changes in my son like tearfulness or irritability, his blood sugar may be high."
A child with Addison's disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids. Which intervention would the nurse implement
Take glucometer readings as ordered
A 19-year-old client with hypothyroidism asks the nurse if she will need to take thyroid medication if she becomes pregnant. The nurse integrates understanding of which of the following when responding to the client?
A. Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy
The nurse is caring for a teenager recently diagnosed with Addison disease. Which findings can be anticipated by the nurse? Select all that apply.
A. Sodium level 128 mEq/L B. Potassium level 5.6 mEq/L C. Muscular weakness
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?
A. Syndrome of inappropriate antidiuretic hormone
The nurse is preparing teaching materials for a family whose child is prescribed somatropin for a growth hormone deficiency. What should the nurse instruct the parents about the administration of this medication?
A. This medication must be given by injection.
Diabetes insipidus a disorder of the posterior pituitary resulting in deficient secretion of which hormone?
A. Antidiuretic hormone
A 17-year-old adolescent is found wandering around. The adolescent is confused, sweaty, and pale. Which test would the nurse expect to be performed first?
A. Blood glucose level
A 9-year-old girl has just been diagnosed with Grave's disease. Which symptom should the nurse expect in this child? Select all that apply.
A. Exophthalmos (protruding eyes) B. Moist skin C. Nervousness D. Increased basal metabolic rate
When describing the negative feedback system that controls endocrine function, the nurse explains that a decreased secretion of which correlates with a decrease in blood glucose levels?
A. Insulin
A group of nursing students are reviewing information about neonatal screenings. The students demonstrate understanding of the information when the students identify which system of most consistently affected by metabolic disorders?
A. Nervous system
A 2-year-old client and the parents are at the office for a follow-up visit. The client has had excessive hormone levels in the recent blood work, and the parents question why this was not found sooner. Which response by the nurse would be most appropriate?
C. "As endocrine functions become more stable throughout childhood, alterations become more apparent
The nurse is examining a child with hypoparathyroidism. The nurse would expect to assesswhich signs and symptoms? Select all that apply.
C. Chvostek E. Trousseau
A child is admitted to the pediatric medical unit with the diagnosis of syndrome of inappropriate antidiuretic hormone (SIADH). Based on the typical signs and symptoms of this disorder, which nursing diagnosis will the nurse identify as relating to this client?
D. Excess fluid volume
The nurse knows that disorders of the pituitary gland depend on the location of the physiologic abnormality. Caring for a child who has issues with the anterior pituitary, the nurse would expect the child to have issues with which hormone?
D. Growth hormone
What should be included in the teaching plan for a child with type 1 diabetes mellitus who is going home on insulin therapy?
It is absolutely normal for the growing child to require an increase in insulin; this does not mean his/her condition is getting worse
A child has been prescribed Stimate (esmopressin) 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?
Stimate (esmopressin) acetate is a synthetic antidiuretic hormone that will slow down your urine output
The nurse is caring for a child who is scheduled for bone scan. It is suspected that the child has a growth hormone deficiency. Which finding would support this medical diagnosis?
The bone scan would show bone age would be two or more deviations below normal.
