Exam 33: The Child with Endocrine Dysfunction

The nurse is discussing with a child and family the various sites used for insulin injections. What site usually has the fastest rate of absorption?

The thyroid-stimulating hormone (TSH) increases secretion in response to which hormone?

The clinic nurse is assessing a child with hypopituitarism. Hypopituitarism can lead to which disorder?

The nurse is caring for an adolescent with anorexia nervosa. What pituitary dysfunction should the nurse assess for in the adolescent?

The clinic nurse is assessing a child with central precocious puberty. What conditions can cause central precocious puberty? (Select all that apply.)

The nurse is teaching an adolescent about giving insulin injections. The adolescent asks if the disposable needles and syringes can be used more than once. The nurse's response should be based on which knowledge?

The health care provider has prescribed desmopressin acetate (DDAVP) 0.05mg/kg/day PO divided twice daily for a child with diabetes insipidus. The child weighs 110 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer in a whole number. _________

The nurse is planning care for a child recently diagnosed with diabetes insipidus (DI). What intervention should be included?

The nurse is planning to admit a 14-year-old adolescent with hyperparathyroidism. What clinical manifestations should the nurse expect to observe in this patient? (Select all that apply.)

What form of diabetes is characterized by destruction of pancreatic beta cells, resulting in insulin deficiency?

A school-age child with diabetes gets 30 units of NPH insulin at 0800. According to when this insulin peaks, the child should be at greatest risk for a hypoglycemic episode between when?

What blood glucose measurement is most likely associated with diabetic ketoacidosis?

Peripheral precocious puberty (PPP) differs from central precocious puberty (CPP) in which manner?

A health care provider prescribes hydrocortisone (Solu-Cortef) 200 mg IV STAT for a child with acute adrenocortical insufficiency. The medication label states Solu-Cortef 100 mg/2 ml. The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer below in a whole number. ________________

A goiter is an enlargement or hypertrophy of which gland?

A child with growth hormone (GH) deficiency is receiving GH therapy. When is the best time for the GH to be administered?

The nurse is preparing to administer a prescribed dose of desmopressin acetate (DDAVP) intramuscularly (IM) to a child with diabetes insipidus. What action should the nurse take before drawing the medication into a syringe?

A child eats some sugar cubes after experiencing symptoms of hypoglycemia. This rapid-releasing sugar should be followed by which dietary intervention?

A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing considerations should be based on which knowledge?

The nurse is teaching the family of a child with type 1 diabetes about insulin. What should the nurse include in the teaching session? (Select all that apply.)