Exam 33: The Child With Endocrine Dysfunction

The health care provider has prescribed propylthiouracil (PTU)7 mg/kg/day PO divided every 12 hours for a child with Graves disease.The child weighs 66 lb.The nurse is preparing to administer the 0800 dose.Calculate the dose the nurse should administer in milligrams.Record your answer below in a whole number. _________

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?

A 12-year-old girl is newly diagnosed with diabetes when she develops ketoacidosis.How should the nurse structure a successful education program?

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

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 clinic nurse is assessing a child with central precocious puberty.What conditions can cause central precocious puberty?

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

An adolescent diabetic is admitted to the emergency department for treatment of hyperglycemia and pneumonia.What are characteristics of diabetic hyperglycemia?

What nursing care should be included for a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?

What are characteristics of diabetic ketoacidosis?

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

A child is receiving propylthiouracil for the treatment of hyperthyroidism (Graves disease).The parents and child should be taught to recognize and report which sign or symptom immediately?

Intranasal administration of desmopressin acetate (DDAVP)is used to treat which condition?

Congenital adrenal hyperplasia (CAH)is suspected in a newborn because of ambiguous genitalia.The parents are appropriately upset and concerned about their child's gender.In teaching the parents about CAH,what should the nurse explain?

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?

Homeostasis in the body is maintained by what is collectively known as the neuroendocrine system.What is the name of the nervous system that is involved?

A preadolescent has maintained good glycemic control of his type 1 diabetes through the school year.During summer vacation,he has had repeated episodes of hypoglycemia.What additional teaching is needed?

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

A child with hypoparathyroidism is receiving vitamin D therapy.The parents should be advised to watch for which signs or symptoms of vitamin D toxicity?

The nurse is preparing to admit a 9-year-old child with syndrome of inappropriate antidiuretic hormone (SIADH).What interventions should the nurse include in the child's care plan?