Kyle and Carman PrepU Chapter 26: Nursing Care of
the Child With an Alteration in
Metabolism/Endocrine Disorder Questions with
Correct Answers
The nurse is caring for a child recently diagnosed with
hypoparathyroidism disorder. Which medication would the nurse expect
to be ordered? Correct Answer-oral calcium
An infant on the pediatric floor has diabetes insipidus. Which
assessment data are important for the nurse to monitor while the infant is
on strict fluid precautions? Correct Answer-Urine output
A nurse is reinforcing the diagnosis of constitutional delay by the health
provider to a 13-year-old male adolescent. Which is the best approach
for this teen? Correct Answer-"You will not need medication because
your hormone levels are normal. I would be glad to discuss these
findings with you."
A 2-year-old client is at the office for a follow-up visit. The client has
had excessive hormone levels in recent bloodwork and the parents
question why this was not found sooner. What is the best response by
the nurse? Correct Answer-"As endocrine functions become more stable
throughout childhood, alterations become more apparent."
A nurse should recognize that which laboratory result would be most
consistent with a diagnosis of diabetes mellitus? Correct Answer-a
fasting blood glucose greater than 126 mg/dl
,Which findings should the nurse expect to assess when completing the
health history of a child admitted for possible type 2 diabetes? Select all
that apply. Correct Answer-Polyuria
Polydipsia
Polyphagia
A nurse is taking care of an infant with diabetes insipidus. Which
assessment data are most important for the nurse to monitor while the
infant has a prescription for fluid restriction? Correct Answer-Urine
output
A nurse is teaching a child with type 1 diabetes mellitus how to self-
inject insulin. Which method should she recommend to the child for
regular doses? Correct Answer-Subcutaneously in the outer thigh
A 10-year-old child has been diagnosed with type 1 diabetes. The child
is curious about the cause of the disease and asks the nurse to explain it.
Which explanation will the nurse provide? Correct Answer-"Special
cells in a part of your body called the pancreas cannot make a chemical
called insulin, which helps control the sugar level in your blood."
A nurse is educating a family about the Chvostek sign after their teen
tested positive for Chvostek sign. Which statements by the caregivers
shows the nurse that they understand the Chvostek sign? Correct
Answer-"When I tap on my child's facial nerve, the reaction is a facial
muscle spasm."
, The nurse is caring for a child recently diagnosed with growth hormone
deficiency. After providing education regarding this disorder, which
statement by the parent demonstrates a need for further teaching?
Correct Answer-"If growth hormone therapy is used, it will continue for
the rest of my child's life."
A 13-year-old adolescent with hyperthyroidism who takes antithyroid
medication has a sore throat and a fever. The parent calls the nurse and
asks what to do. Which is the best response from the nurse? Correct
Answer-"Please take your child straight to the emergency department."
The nurse is teaching a group of caregivers of children diagnosed with
diabetes. The nurse is explaining insulin shock and the caregivers make
the following statements. Which statement indicates the best
understanding of a reason an insulin reaction might occur? Correct
Answer-"My child measures their own medication but sometimes
doesn't administer the correct amount."
Prior to discharging an infant with congenital hypothyroidism to home
with the parents, what should the nurse emphasize regarding the care
that this child will need going forward? Correct Answer-Administration
of levothyroxine indefinitely
The nurse is interviewing the caregivers of a child admitted with a
diagnosis of type 1 diabetes mellitus. The caregiver states, "She is
hungry all the time and eats everything, but she is losing weight." The
caregiver's statement indicates the child most likely has: Correct
Answer-Polyphagia
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