pediatric endocrine NCLEX questions

pediatric endocrine (NCLEX questions) 3.0 (2 reviews) Terms in this set (14) George Brown College Nursing Save During teaching, the nurse should advise the family of a child newly-

diagnosed with Graves' disease to:

• Encourage outdoor activities
• Limit bathing to prevent skin

irritation

• Promote interaction with one

friend instead of a group

• Set the thermostat higher than

normal for comfort

• Promote interaction with one friend instead of a

group Children with Graves' disease (an autoimmune conditions that causes hyperthyriodism) tend to be more emotionally labile, and may have difficulty managing group dynamics. Sweating and feeling too warm are common complaints; showering should be encouraged. Bright light, such as sunshine, may be irritating because of disease- related ophthalmopathy.

A student with type I diabetes mellitus complains of feeling lightheaded. Her blood sugar is 60 mg/dL. Using the 15/15 rule, the

nurse should:

• give 15 mL of juice, and repeat

does in 15 minutes

• give 15 grams of carbohydrates

and retest blood sugar in 15 minutes

• Give 15 grams of carbohydrates

and 15 g of protein

• Give 15 ounces of juice and retest

blood sugar in 15 minutes

• give 15 grams of carbohydrates and retest blood

sugar in 15 minutes 15/15 rule states to give 15 g of carbohydrates (approx 60 calories; roughly 4 oz of juice or a tablespoon of honey or sugar). Protein by itself will treat hypoglycemia. Only 15 mL of juice does not contain enough calories to increase the blood sugar. Fifteen oz of juice nearly 4 times the recommended amount The nurse knows that diabetic teaching has been effective when parents of a newly diagnosed child state they will, during an illness,

provide the child with:

• more insulin
• more calories
• less insulin
• less protein
• more insulin

Illness causes greater insulin resistance, so more is needed to achieve normal blood glucose levels.Increased calorie intake will be ineffective without more insulin to assist the body with metabolizing those calories. Restricting protein is not recommended, but during illness, fluids and light carbohydrates are usually tolerated best.

An adolescent with Addison's disease may need an increased dosage of glucocorticoids to which of the following situations?

• completing spring semester of

school

• Gaining 7 pounds
• Death of a family member
• Undergoing a root canal
• Undergoing a root canal

Physical stress, such as infection, surgery, dental work and pregnancy, can lead to adrenal crisis in those with Addison's disease. Psychological stress has less effect than physical stress. Adrenal insufficiency leads to weight loss.Substance known to disrupt normal hormone-related growth and development of children include all

the following except:

• Aloin
• Dioxins
• Oral contraceptives
• Coumestans derived from alfalfa
• Aloin

Aloin is the one of the active compounds found in aloe vera gel, and has not been found to affect childhood growth and development. Dioxins are toxic byproducts of industrial processes. Oral contraceptives contain female sex hormones that can alter normal sexual development in children based on their time of exposure. Coumestans, while natural compounds found in some plants, are considered phytoestrogens, which have been shown to affect endocrine function.A two-year-old has been admitted with a diagnosis of Kawasaki disease.Which of the following would be a priority on the plan of care for this child?

• vital signs every 6 hours
• Hourly intake and output records
• Skincare
• Passive range-of-motion exercises
• Hourly intake and output records

Those with Kawasaki disease are at high-risk for CHF in the initial stages. Vital signs would need to be recorded more often than every 6 hours.Skincare and ROM exercises are important, but not the priority at this time.

A 5-year-old a has temperature of 103.6 'F and is brought into the emergency room by his mother.Which statement by the mother causes concern?

• "I've tried to encourage fluid

intake every hour."

• "I administered Aspirin to help with

the fever a few hours ago."

• "I re-took his temperature 30

minutes after I gave the medication and it was still high."

• "I gave him a sponge bath to help

with the fever."

• "I administered Aspirin to help with the fever a

few hours ago." A child should never have aspirin, especially for a fever due to Reye's Syndrome.A 7-year-old has been having vomiting with diarrhea for 3 days.How do you expect the child to present clinically?

• Sunken eyeballs and bradycardia
• None of the options are correct.
• Bradycardia, dry mucous

membranes, absence of tears

• Tachycardia, dry mucous

membranes, weight loss

• None of the options are correct.

The child should be experiencing dehydration and

would present clinically with: Tachycardia, dry

mucous membranes, weight loss, sunken eyes and/or fontanles, decreased urinary output (i think it is D though)