Exam 31: The Child With a Metabolic Condition

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What statement by a parent leads the nurse to determine a parent is administering levothyroxine (Synthroid)correctly?

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D

The nurse is teaching the parents of a child with diabetes insipidus about water intoxication.The nurse would tell the parents to be alert for what symptom?

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D

The nurse explains that the diagnosis of diabetes is made when the fasting blood glucose level is _______ mg/dL on two separate occasions,and the history is positive for indication of the disease.

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126
An elevated blood glucose level of 126 mg/dL on two separate occasions is grounds for the diagnosis of diabetes mellitus when the history is positive for the disease.

Which process(es)does the nurse explain the endocrine system is primarily responsible for controlling? (Select all that apply. )

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The parents of a child newly diagnosed with diabetes mellitus tell the nurse,"Our son's body is resistant to insulin." With what does the nurse recognize this description is consistent?

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What does the nurse remind the adolescent with diabetes that soluble fiber in the diet can reduce? (Select all that apply. )

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Although the child with type 1 diabetes had her prescribed insulin at 7:30 AM,the child is complaining of hunger and thirst and is drowsy at 10:30 AM.What should the nurse do first?

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The nurse assessing a glycosylated hemoglobin (HbA?c)test is aware that this test can evaluate average glucose levels over a period of _____ to _____ months.

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The home health nurse is monitoring an 8-month-old child with hypothyroidism taking levothyroxine (Synthroid).Which symptoms does the nurse recognize as signs of overdose? (Select all that apply. )

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What makes keeping diabetes in control in an adolescent difficult? (Select all that apply. )

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A nurse is planning to teach a family about Tay-Sachs disease.What will the nurse relay about the pattern of inheritance for inborn errors of metabolism?

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A mother reports that her 4-month-old infant is lethargic,sleeps 18 hours a day,and snores.The nurse recognizes these signs are characteristic of what?

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When discussing possible causes of diabetes in children,the nurse mentions chromosomal defects.Which chromosomes are associated with diabetes? (Select all that apply. )

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A child receives a combination of regular and NPH insulin at 8:00 AM.At 8:45 AM the breakfast trays have not yet arrived from the kitchen.What is the best action by the nurse?

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On what understanding does the nurse plan the care of a child with a new diagnosis of type 1 diabetes mellitus?

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The nurse is discussing insulin shock with parents of a child recently diagnosed with diabetes mellitus.What will the nurse respond when the parents ask why children are more prone to insulin reactions? (Select all that apply. )

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What is an important consideration for the school-age child taking DDAVP for diabetes insipidus?

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A child with diabetes is brought to the emergency department.He is flushed and drowsy,and his skin is dry.His father states that the child has been feeling progressively worse since the morning.What is this child most likely experiencing?

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The nurse reminds the parents of a diabetic with an insulin pump that the tubing of the pump should be changed aseptically every ______ hours.

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After a closed head injury,the unconscious 10-year-old child begins to excrete copious amounts of pale urine with an attendant drop in blood pressure (BP).Based on these symptoms,what does the nurse suspect has developed?

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