Pediatrics Chapter 31 NCLEX The __ __ (__) test reflects glucose control over a period of time.glycosylated hemoglobin (HbA1c) The glycosylated hemoglobin test (HbA1c) reflects glycemic levels over a period of months. Values are found to be elevated in virtually all children with newly diagnosed diabetes. This study also helps to confirm the results of blood and urine tests done either
at home or by the physician. REF: Page 709
The pediatric nurse is providing discharge instructions to parents whose infant is prescribed Synthroid for the medical diagnosis of hypothyroidism. Which statement made by the mother indicates a knowledge deficit? “I am looking forward to my child being able to stop this medication.” Medication is not to be discontinued because the replacement for hypothyroidism is
lifelong.REF: Page 705
What are the initial signs of diabetes insipidus?Polydipsia and polyuria Polydipsia and polyuria are the initial signs of diabetes insipidus.REF: Page 705 Which lab tests and results can be used to identify diabetes mellitus type I?Fasting blood glucose (FBG) >126 mg/dl Glucose tolerance test (GTT) concentration >200 mg/dl Glycosylated hemoglobin test (HgbA1C) >9% Urine ketone testing-positive These lab values all help with the diagnosis of diabetes mellitus type I except CBC and AST/SGOT. CBC with elevated bands indicates infection. Aspartate aminotransferase
(AST/SGOT) indicates a liver dysfunction or impairment.REF: Page 708
Which deficiency causes Tay-Sachs disease?Hexosaminidase Tay-Sachs disease involves a deficiency of hexosaminidase, an enzyme necessary for the metabolism of fats. REF: Page 704 This study source was downloaded by 100000847794042 from CourseHero.com on 06-20-2022 13:56:08 GMT -05:00
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Which symptoms are manifestations of hypothyroidism in an infant?Noisy respiration Enlarged tongue Lethargy The infant with hypothyroidism is very sluggish and sleeps a lot. The tongue becomes enlarged, causing noisy respiration. The skin is dry, there is no perspiration, and the hands and feet are cold. The infant feels floppy when handled. Chronic constipation resulting from hypotonia occurs and hair eventually becomes dry and brittle. If untreated,
irreversible mental retardation and physical disabilities result.REF: Page 705
Which risk factors are potential causes of diabetes insipidus?Head injury Heredity Brain tumor Diabetes insipidus can be hereditary (autosomal dominant) or acquired as the result of a head injury or tumor.REF: Page 705 This study source was downloaded by 100000847794042 from CourseHero.com on 06-20-2022 13:56:08 GMT -05:00