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NUR 370 Exam 2 - Endocrine Alterations Review Questions and Correct Answers CA$12.98   Add to cart

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NUR 370 Exam 2 - Endocrine Alterations Review Questions and Correct Answers

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  • Course
  • NUR 370
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  • NUR 370

Total or partial deficiency of insulin; most common endocrine disorder of childhood Diabetes mellitus Immune-mediated destruction of pancreatic beta cells - absolute insulin deficiency Type 1 diabetes Insulin-resistance combined with relative insulin deficiency Type 2 diabetes Genetic and enviro...

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  • August 27, 2024
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  • NUR 370
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NUR 370 Exam 2 - Endocrine Alterations
Revie Questions and Correct Answers
Total or partial deficiency of insulin; most common endocrine disorder of childhood
✅Diabetes mellitus

Immune-mediated destruction of pancreatic beta cells - absolute insulin deficiency
✅Type 1 diabetes

Insulin-resistance combined with relative insulin deficiency ✅Type 2 diabetes

Genetic and environmental; Dx based on serum glucose levels ✅Etiology DM

Autoimmune disorder; recessive gene causes indv. to be vulnerable to trigger event
which starts process that gradually destroys beta cells in pancreas ✅Type 1 etiology

Excess sugar in the urine ✅Glycosuria

Abnormally large volumes of dilute urine ✅Polyuria

Large sensation of thirst ✅Polydipsia

Excessive hunger ✅Polyphagia

Large amounts of ketones in the urine ✅Ketonuria

Extremely high levels of blood acids called ketones. BS >>>> ✅Ketoacidosis

Deep, labored breathing pattern symptomatic of metabolic acidosis such as DKA
✅Kussmaul Respirations

Kidney disease or damage ✅Nephropathy

Damage to nerves (tingling, pain, numbness...) ✅Neuropathy

Damage to eye/retina that causes distortion in vision ✅Retinopathy

Insufficient insulin production leads to decreased transfer of glucose into cells, cause
increased concentration of glucose in blood stream; body uses fat and proteins for
energy ✅DM pathophysiology

, Similar to diabetes in adults but onset usually rapid- lethargy, weight loss, bedwetting,
irritable, fatigue, blurred vision, sores slow to heal, headache, flushed, dry skin, 3 Ps
✅DM clinical manifestations

Hospitalized ✅Where are children at time of DM diagnosis?

indv. plan for total dose and rapid/long acting; based on glucose levels from test; SubQ
injections 2+ times a day or by pump; adjusted during illness ✅DM insulin therapy

Balanced diet with cals enough to maintain energy needs and growth/dev. consistent
intake/timing; count carbs or use point system ✅DM nutrition

May need extra snack with activity ✅DM exercise

life-threatening potential; ICU for management; reduce BS via insulin; fluids for
dehydration; electrolyte replacement, especially K; be cautious with replacement to
avoid cerebral edema ✅DKA management for DM

Overwhelmed for first few days, need family support ✅DM nursing considerations

Patho, meal planning, insulin admin, glucose monitoring, hyper and hypo SS, exercise,
record keeping, hygiene, when to contact HCP ✅DM teaching

Growth hormone deficiency (GHD) ✅Hypotituitarism

normal initially, growth drops during 2nd year < 5th percentile ✅GHD short stature

appear well nourished ✅GHD height more affected than wt

normal skeletal proportions; bone age retarded and parallels height age ✅GHD
proportions

delay in appearance of permanent teeth d/t crowding from underdeveloped jaw ✅GHD
teeth

Delayed but normal ✅GHD sexual development

H&P, family history, deteriorating rate of growth on chart; bone age via radiographic;
pituitary funct. testing for growth hormone levels; differentiate b/w GHD and
constitutional growth delay ✅GHD diagnostic evaluation

Treat underlying problem ✅GHD secondary mananagement

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