Deck 34: Child With a Metabolic Condition

Question 1

Which action related to insulin administration should the nurse include in the teaching plan for an adolescent client who has been newly diagnosed with DM,in order to avoid the development of lipoatrophy?

A) Rotating injection sites
B) Checking blood sugar levels at mealtime and bedtime
C) Using a sliding scale for additional coverage
D) Administering insulin via a pump

Answer 1

Rotating injection sites

Question 2

Which statement regarding the endocrine system is accurate?

A) The hypothalamus is a photosensitive gland that receives light through the optic nerve.
B) The pituitary gland produces two hormones called thyroxin and triiodothyronine.
C) The pancreas produces insulin and glucagon,which affect metabolism.
D) The adrenal glands produce steroidal sex hormones that regulate changes at puberty.

Answer 2

The pancreas produces insulin and glucagon,which affect metabolism.

Question 3

Which assessment data for a pediatric client support the diagnosis of familial or idiopathic central DI? (Select all that apply.)

A) Polyuria
B) Polydipsia
C) Nocturia
D) Enuresis
E) Constipation

Answer 3

Nocturia
Enuresis
Constipation

Question 4

An adolescent patient presents in the emergency department (ED)with confusion.The health-care provider suspects diabetic ketoacidosis (DKA).A STAT serum glucose is done,and the result is 715 mg/dL.Which clinical manifestations does the nurse anticipate upon assessment of this client?

A) Tachycardia,dehydration,and abdominal pain
B) Sweating,photophobia,and tremors
C) Dry mucous membranes,blurred vision,and weakness
D) Dry skin,shallow rapid breathing,and dehydration

Question 5

The nurse is giving discharge instructions to the parents of a child whose adrenal glands have been removed because of a tumor.Which parental statement indicates the need for further education?

A) "I will call the doctor if my child has restlessness and confusion."
B) "If my child has any gastric irritation,I will give him antacids."
C) "If my child has vomiting and diarrhea,I will hold his hydrocortisone."
D) "I will give my child his hydrocortisone in the morning."

Question 6

Which prescriber prescription should the nurse anticipate when providing care to a pediatric patient diagnosed with SIADH?

A) Furosemide by mouth
B) Insulin injections as needed
C) Blood glucose monitoring as needed
D) Oral fluid restriction

Question 7

Which clinical manifestation does the nurse anticipate when assisting with the assessment of a child diagnosed with acromegaly?

A) Weight loss
B) Hyperglycemia
C) Osteoarthritis
D) Dry skin

Question 8

Which type of nutrition should the nurse include when planning care for a newborn who is diagnosed with galactosemia?

A) Goat's milk formula
B) Breast milk
C) Cow's milk-based formula
D) Lactose-free formula

Question 9

A 5-year-old child with a history of hypopituitarism presents with complaints of right hip and leg pain.Which prescribed medication for the diagnosis should the nurse identify as the cause for the current symptoms?

A) Daily growth hormone
B) Insulin before meals and bedtime
C) Desmopressin at bedtime
D) Cortisone injections

Question 10

The nurse is providing information to an adolescent newly diagnosed with diabetes.Which clinical manifestations of DKA should the nurse include in the teaching session? (Select all that apply.)

A) Change in mental status
B) Tachycardia
C) Fruity breath odor
D) Rapid,shallow respirations
E) Abdominal pain

Question 11

Which assessment finding causes the nurse to question whether a preschool-aged boy diagnosed with phenylketonuria (PKU)shortly after birth is following the prescribed dietary restrictions?

A) The child's body has a musty odor.
B) The child is a blue-eyed blond.
C) The child appears sleepy and uninterested in the surroundings.
D) The child has a sunburn over his entire body.

Question 12

Which sequela should the nurse include in the teaching session for a parent who does not believe in medication for the treatment of the newborn's hypothyroidism?

A) Heart disease
B) Delayed mental processing
C) Renal failure
D) Thyroid storm

Question 13

Which clinical manifestations should the nurse anticipate when providing care to an adolescent client who presents with untreated Graves' disease?

A) Hyperglycemia,ketonuria,and glucosuria
B) Weight gain,hirsutism,and muscle weakness
C) Tachycardia,fatigue,and heat intolerance
D) Dehydration,metabolic acidosis,and hypertension

Question 14

A mother brings her school-aged daughter to the pediatrician.Upon hearing the daughter's symptoms,the health-care provider prescribes a test for type 1 DM.Which data collected during the nursing assessment support the diagnosis of type 1 diabetes? (Select all that apply.)

A) Polydipsia
B) Polyuria
C) Polyphagia
D) Enuresis
E) Hypoglycemia

Question 15

Which teaching point should the nurse include in the discharge instructions for the parents of an infant who has been diagnosed with congenital hypothyroidism and has been prescribed daily levothyroxine?

A) Stopping the medication as long as the child continues to grow
B) Preventing hypothermia with appropriate clothing
C) Changing formula because it is contraindicated with the prescribed medication
D) Monitoring growth and development without any other prescribed interventions

Question 16

Which should the nurse anticipate when providing care to a pediatric patient diagnosed with diabetes insipidus (DI)?

A) Anuria
B) Oliguria
C) Dependent edema
D) Uncontrolled diuresis

Question 17

The nurse is providing education to a school-aged child recently diagnosed with type 1 diabetes mellitus (DM).Which item will the nurse include in the teaching plan regarding sick day management?

A) Holding the prescribed dose of insulin
B) Monitoring blood glucose every 8 hours
C) Monitoring for ketones after each void
D) Encouraging exercise every 24 hours

Question 18

An endocrinologist orders a test(s)for a child to diagnose adrenal crisis.Which test(s)does the nurse anticipate on the basis of the child's diagnosis? (Select all that apply.)

A) Computed tomography (CT)scan of the brain
B) White blood cell count
C) Chest radiography
D) Blood test to determine electrolyte levels
E) Aldosterone levels

Question 19

Which is the priority nursing action when providing care for a school-aged child admitted to the hospital experiencing an adrenal crisis?

A) Administering prescribed fluids and electrolytes
B) Clustering care to enhance rest
C) Monitoring stool output
D) Providing pain relief and tepid baths

Question 20

The nurse is providing care to a pediatric patient experiencing a hyperactive adrenal medulla.Which clinical manifestation should the nurse anticipate during the assessment process?

A) Hypoglycemia
B) Tachypnea
C) Constipation
D) Edema