Deck 17: Endocrine Disorders

Question 1

The nurse at a pediatric clinic is assessing a 12-year-old female. The patient ask the nurse, "I am scared about what's happening to my body. How does it happen?" Which information from the nurse is most appropriate?

A)The ovaries are located on each side of the uterus.
B)The ovaries secrete hormones that regulate the menstrual cycle.
C)The ovaries play a role in the regulation of puberty and fertility.
D)The body changes will indicate the patient is a woman and not a child.

Answer 1

The ovaries play a role in the regulation of puberty and fertility.

Question 2

The nurse is providing care for a child who is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). Which laboratory result does the nurse expect with this condition?

A)Low urine-specific gravity
B)High urine and low serum osmolarity
C)High serum sodium level
D)Increase in the hematocrit level

Answer 2

High urine and low serum osmolarity

Question 3

The nurse on a pediatric unit is admitting a 6-week-old infant. Symptoms include a wet daily diaper count of 10 to 12 a day, irritability, constipation, and dehydration. For which medical prescription does the nurse contact the physician?

A)Limit oral intake of water to 200 mL per shift.
B)Weigh diapers to measure 24-hour urine output.
C)Check urine-specific gravity every 8 hours.
D)Allow the mother to continue breastfeeding.

Answer 3

Limit oral intake of water to 200 mL per shift.

Question 4

The nurse is assessing a 4-month-old infant who has a diagnosis of hypoparathyroidism. In which manner will the nurse assess the infant for pain related to the diagnosis?

A)Tap on a facial nerve and note the response.
B)Monitor closely for signs of seizure activity.
C)Assess for hyperreflexia of the muscles.
D)Carefully monitor cardiovascular status.

Question 5

The nurse is planning a teaching session for a 10-year-old patient and the patient's parents. The patient is newly diagnosed with type 1 diabetes mellitus. Which is the most important topic for the nurse to cover?

A)Methods for preventing hypoglycemia during exercise
B)The purpose of setting up a dietary consult for the patient
C)All procedures involved in insulin administration
D)Instructions for blood glucose and urine ketone testing

Question 6

The school nurse is teaching a middle-school class about the hormones that regulate body functions. Which information provided by the nurse is accurate?

A)Hormones are chemicals secreted by endocrine glands.
B)Hormones act specifically on the glands that produce them.
C)Hormones react with negative feedback as levels decline.
D)Hormones are made from proteins, fats, and carbohydrates.

Question 7

The nurse in a pediatrician's office is assessing a 9-year-old male patient who is being monitored for the possible diagnosis of hypopituitarism. Which assessment finding does the nurse recognize specifically as an indication of growth hormone deficiency?

A)High weight-to-height ratio
B)Large hands and feet for body size
C)Severe aching in knees and ankles
D)Height increase of 1.75 inches in 12 months

Question 8

The nurse in a NICU nursery is providing care for a newborn diagnosed with congenital hypothyroidism. During hospitalization, which home-care concept will the nurse include in the newborn's care?

A)Mix thyroid replacement hormone medication in a bottle of milk.
B)Increase dietary fiber with a soy-based formula to prevent constipation.
C)Ask the breastfeeding mother to bring breastmilk to the hospital.
D)Administer hormone replacement medication using a medicine dropper.

Question 9

A 10-year-old patient is diagnosed with type 2 diabetes mellitus. Which medical history finding will help the nurse identify alternative interventions for managing the patient's condition?

A)The patient's ethnicity group is African American.
B)The patient's BMI is greater than 85th percentile for age and weight.
C)The patient's mother had gestational diabetes during her pregnancy.
D)The patient's extended family exhibits a high incidence of diabetes.

Question 10

Identify one or more choices that best complete the statement or answer the question.
The nurse on a pediatric unit is providing care for a preschool child with syndrome of inappropriate antidiuretic hormone (SIADH). The parents brought the child to the hospital to receive IV therapy. Which statements by the parents indicate to the nurse that the child is receiving appropriate care? Select all that apply.

A)"We were getting concerned about her loving salt."
B)"Popsicles have become a favorite daytime snack."
C)"We recognized the symptoms of sodium depletion."
D)"The confusion, headache, and irritability are unusual."
E)"She loves her new little bracelet and shows it to everyone."

Question 11

A 16-year-old adolescent has Addison's disease. The adolescent's current medication involves corticosteroid and mineralocorticoid replacement therapy. During sports practice, the adolescent collapses and loses consciousness with sudden, penetrating pain in the lower back and legs. Which action is taken by the school nurse?

A)Administer the glucagon kept for the adolescent in the clinic.
B)Place the adolescent in side-lying position in case vomiting occurs.
C)Notify the parents of the incident and request permission to transport to the hospital.
D)Give IM Solu-Cortef and call the paramedics for emergency IV infusion.

Question 12

A 15-year-old female asks the pediatric nurse how tall she may be as an adult. The adolescent’s father is 6 feet 0 inches tall; her mother is 5 feet 4 inches tall. Which calculation will the nurse use to provide a probable answer?

A)Add the parents’ heights in inches together; divide by 2; add 2.5 inches.
B)Add the parents’ heights in inches together; divide by 2; subtract 2.5 inches.
C)Add the parents’ heights in inches together and divide the total by 4.
D)Add the parents’ heights in inches together; divide by 4; add 2.5 inches.

Question 13

The nurse is providing care for a 12-month-old patient who is experiencing poor weight gain. Physical assessment reveals an open anterior fontanel and open cranial sutures. To differentiate between a decrease in growth hormone and a congenital thyroid problem, which laboratory test does the nurse expect to be ordered?

A)Serum calcium
B)CBC
C)TSH
D)FSH

Question 14

The nurse in a pediatric emergency department is providing care for a 1-year-old patient with a history of congenital adrenal hyperplasia (CAH). The patient is exhibiting the manifestations of a febrile illness. Which medical intervention does the nurse expect to be prescribed?

A)Laboratory testing for elevated serum 17-OHP level
B)Cultures and testing for the cause of the febrile illness
C)A quiet, cool environment for the patient
D)Administration of corticosteroids by injection

Question 15

Identify one or more choices that best complete the statement or answer the question.
The pediatric nurse is preparing a community education program for parents and children who have endocrine disorders. With which normal regulatory functions does the nurse begin the presentation before covering endocrine disorders? Select all that apply.

A)Growth and development
B)Sexual development
C)Energy use and storage
D)An individual's response to stress
E)Levels of glucose, fluid, and sodium in the blood
F)None of above

Question 16

Identify one or more choices that best complete the statement or answer the question.
The nurse is preparing a teaching plan for a patient and family. The patient is diagnosed with hyperpituitarism. Which teaching information will optimize therapy outcomes for the patient? Select all that apply.

A)Education about home administration of medications
B)Education about the disorder and treatment options
C)Explanations of long-term complications for noncompliance
D)Signs of excess bone growth and other features of gigantism
E)The impact of a tumor on or near the hypothalamus or pituitary gland

Question 17

A 13-year-old male patient is diagnosed with hypopituitarism and is prescribed to begin growth hormone replacement therapy. Which patient teaching information will best optimize the replacement therapy outcomes for the patient?

A)Clear communication about side effects of therapy and how they are managed
B)The chemical makeup and differences between the brands of somatotropin
C)How much and how quickly the patient will see the effects of the therapy
D)Psychotherapy for the family to deal with emotional problems of the condition

Question 18

Identify one or more choices that best complete the statement or answer the question.
The nurse is providing family teaching for a child diagnosed with hypoparathyroidism. Which additional teaching will the nurse include related to alternative dietary management? Select all that apply.

A)Avoiding caffeine and limiting the intake of carbonated beverages
B)Encouraging foods high in calcium and vitamin K
C)Including dietary supplements such as magnesium and boron
D)Giving calcium and vitamin D with acidic substances
E)Providing green leafy vegetables as the primary source of calcium

Question 19

A 12-year-old patient has a diagnosis of hyperthyroidism and is hospitalized for the manifestations of a thyroid storm. Which home-care concept will the nurse include in the care of the patient during hospitalization?

A)Provide a low-stress, low-pressure environment.
B)Ensure medications are given on the home schedule.
C)Limit intake of caffeine and carbonated fluids.
D)Increase intake of foods high in calcium and vitamin K.