Exam (elaborations)
Chapter 28. theChild with Endocrine Dysfunction
- Course
- Pediatric nursing
- Institution
- Baylor College Of Medicine
Chapter 28. theChild with Endocrine Dysfunction
[Show more]
Content preview
Chapter 28. theChild with Endocrine DysfunctionMULTIPLE CHOICE
1. Homeostasis in thebody is maintained by what is collectively known as theneuroendocrine
system. What is thename of thenervous system that is involved?
a. Central
b. Skeletal
c. Peripheral
, d. Autonomic
ANS: D
The autonomic nervous system (composed of thesympathetic and parasympathetic systems)
controls involuntary functions. In combination with theendocrine system, it maintains
homeostasis. thecentral, skeletal, and peripheral subdivisions of thenervous system are not part
of theneuroendocrine system.
DIF: Cognitive Level: Understanding REF: dl. 1494
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
2. A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing
considerations should be based on which knowledge?
a. Therapy is most successful if it is started during adolescence.
b. Replacement therapy requires daily subcutaneous injections.
c. Hormonal supplementation will be required throughout childs lifetime.
d. Treatment is considered successful if children attain full stature by adolescence.
ANS: B
Additional support is required for children who require hormone replacement therapy, such as
preparation for daily subcutaneous injections and education for self-management during
theschool-age years. Young children, obese children, and those who are severely GH deficient
have thebest response to therapy. Replacement therapy is not needed after attaining final height.
thechildren are no longer GH deficient. When therapy is successful, children can attain their
actual or near-final adult height at a slower rate than their peers.
DIF: Cognitive Level: Analyzing REF: dl. 1499 TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity
3. A child with growth hormone (GH) deficiency is receiving GH therapy. When is thebest time
, for theGH to be administered?
a. At bedtime
b. After meals
c. Before meals
d. After arising in
morning ANS: A
Injections are best given at bedtime to more closely approximate thephysiologic release of GH.
After meals, before meals, and after arising in themorning do not parallel thephysiologic release
of thehormone.
DIF: Cognitive Level: Applying REF: dl. 1499
TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
4. What is a condition that can result if hypersecretion of growth hormone (GH) occurs
after epiphyseal closure?
a. Cretinism
b. Dwarfism
c. Gigantism
d. Acromegaly
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller mentor2000. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62774 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now