Exam 27: Caring for the Child With an Endocrinological or Metabolic Condition

A teenager has Crohn's disease and presents to the emergency department with a 3-day history of decreased appetite,lethargy,and fatigue.Today the parent reports the child is confused and "looks blue." The nurse finds the child hypotensive.Which assessment question is most helpful?

A child is born with pseudohermaphroditism.After determining that the baby is a girl through genetic testing,the parents ask about her potential fertility.Which response by the nurse is the most appropriate?

An adolescent has Cushing's syndrome due to long-term use of steroid therapy for another illness.When writing this child's care plan,which nursing diagnosis takes priority?

Which long-term goal is most appropriate for the adolescent diabetic patient?

A student nurse is caring for a child with gigantism.Which hormones does the faculty member explain are important in this condition?

A child has hyperthyroidism and is prescribed propranlol (Inderal).The mother states "Why is she taking this? I take Inderal for my blood pressure." Which response by the nurse is the most appropriate?

The nurse is helping a new diabetic child pick breakfast from the menu.Which selection would require the nurse to reinforce dietary teaching for this child?

An infant is suspected of having diabetes insipidus (DI)and is having diagnostic testing.Which action by the nurse is most important?

An adolescent with type 1 diabetes mellitus is hospitalized for the third time in 1 year with an infection.Which laboratory value would provide the nurse the most important information?

A child is brought to the emergency department with severe flank pain,hematuria,and vomiting.When assessing the child's laboratory findings,which value does the nurse correlate with this condition?

The nursing faculty member explains the functions of the anterior pituitary as regulating which processes?

A nurse is caring for a 45-kg (99-lb)child undergoing a water deprivation test.At a routine assessment during the test,the nurse notes the child's weight at 42 kg.Which action by the nurse takes priority?

A teenager is admitted with Addison's disease.Which laboratory findings does the nurse correlate with this condition?

A child has been diagnosed with diabetes insipidus (DI).The nurse is teaching the parents and child about self-care measures.Which item does the nurse explain is the priority for the child to have at all times?

A nurse is preparing to administer an octreocide depot injection.Which information about this procedure does the nurse provide the parent?

A parent with his 7-year-old son at the pediatric clinic expresses concern that the child is too short.The nurse measures the child and finds him to be 100 cm (39.3 inches)tall.Which statement by the nurse is most appropriate?

Which organ or gland is directed by the hypothalamus to release adrenocorticotropic hormone (ACTH)?

The nurse in an endocrine clinic is assessing an 8-year-old girl who has not yet started menstruating and is Tanner stage II.Which statement by the nurse to the parent is most appropriate?

A mother brings her baby to the emergency department stating that the baby no longer makes tears when crying but is having multiple soaked diapers per day.Which assessment by the nurse takes priority?

A hospitalized child is receiving calcium via a peripheral IV site.Which action by the nurse is most important?