NUR 370 Exam 2 - Endocrine Alterations Review Questions and Correct Answers
4 views 0 purchase
Course
NUR 370
Institution
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...
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
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
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 twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
