NURS 380 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
1 vue 0 fois vendu
Cours
NURS 380
Établissement
NURS 380
NURS 380 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
Type 2 DM in pediatric patients - Answer--type 2 DM can be caused by a slowed response of the pancreas
-metformin is commonly used to manage type 2 DM
diabetes insipidus: central and nephrogenic -...
Type 2 DM in pediatric patients - Answer--type 2 DM can be caused by a slowed
response of the pancreas
-metformin is commonly used to manage type 2 DM
diabetes insipidus: central and nephrogenic - Answer--due to pituitary dysfunction/ADH
-posterior pituitary targets the renal tubules and collecting tubules to make them
permeable to water, thus increasing reabsorption and decreasing excretion of urine.
-vasopressin is the treatment of choice
-polyuria, polydipsia, extreme dehydration, dilute urine, craving water, fever, confusion
DKA in pediatric patients - Answer--fat is broken down for energy and leaves behind
ketones
-glucose greater than 330
-pH-acidodic 7.3 or less
-look at bicarb, anion gap (are electrolytes out of balance and is blood too acidic or
basic)
-IV, cardiac monitor, lab work, VBG, fluid, insulin drip
-review renal function before adding potassium replacements
-when glucose decreases to 250 add insulin
-IV fluids first
-monitor for hypokalemia, usually elevated before cellular shift
-insulin drip 0.1/u/kg/hr
-education is very important
*need kidney function before potassium replacement*
growth hormone deficiency - Answer--naturally released from pituitary gland
-decreased somatic growth (delayed growth of less than 2 inches per year)
-have a declination of growth measurement on the growth chart over time and a high
weight-to-height ration with increased abdominal fat.
-hypopituitarianism
-risk factors:
*tumors
*trauma
*structural defects
*hereditary disorders
*deficiency of TSH or ACTH or GH deficiencies can be idiopathic
, child with growth hormone deficiency may have - Answer--delayed dental eruption
-decreased muscle mass
-cherubic0like appearance or appearing to be younger than actual age
-delayed puberty during adolescent period and a high-pitched voice
diagnostic testing for growth hormone deficiency - Answer--growth is less than the 3rd
percentile
-biological parental heights are calculated to determine the mid-parental height of the
parents or average
-bone x-ray of the left hand and wrist used to determine the actual age of the bones in
comparison with the child's actual age
*bone age greater than 2 standard deviations (SD) below normal merits further
evaluation
-MRI of the head focusing on the pituitary gland
-blood test for cortisol levels, blood cell count and electrolytes
-ACTH and cortisol levels to detect the presence of other hormone deficiencies
-urine creatinine, pH, specific gravity, BUN and electrolytes to detect possibility of short
stature being caused by chronic renal failure.
nursing interventions for growth hormone deficiency - Answer--careful measurement
and documentation of growth on the child's age and sex appropriate growth chart
-GH replacement therapy is a medical regimen administered in the home setting.
Follow-up with the endocrinologist every 3-4 months is crucial for assessing response to
therapy
physical assessment growth hormone deficiency - Answer--short stature
-underdeveloped jaw
-delayed sexual maturation
-growth velocity less than one standard deviation for age and two standard deviations
for height (plotted on height and weight charts)
-radiographs of hands and wrists
-skull films for structural abnormalities
-need to go to endocronologist for hormones so they can grow
Growth Hormone Excess/hyperpituitarism - Answer--uncontrolled growth >95th
percentile
-percocius puberty (due to tumor may need surgery)
-overgrowth of bones: acromegaly seen on XRAY
-enlargement of hands, feet, coarse facial hair, enlarged features
-muscle weakness, joint pain
-accurate assessment of growth
-connect to endocrinologist
percocious puberty - Answer-Early Puberty
• For Girls age 8 (normal- age 10)
Les avantages d'acheter des résumés chez Stuvia:
Qualité garantie par les avis des clients
Les clients de Stuvia ont évalués plus de 700 000 résumés. C'est comme ça que vous savez que vous achetez les meilleurs documents.
L’achat facile et rapide
Vous pouvez payer rapidement avec iDeal, carte de crédit ou Stuvia-crédit pour les résumés. Il n'y a pas d'adhésion nécessaire.
Focus sur l’essentiel
Vos camarades écrivent eux-mêmes les notes d’étude, c’est pourquoi les documents sont toujours fiables et à jour. Cela garantit que vous arrivez rapidement au coeur du matériel.
Foire aux questions
Qu'est-ce que j'obtiens en achetant ce document ?
Vous obtenez un PDF, disponible immédiatement après votre achat. Le document acheté est accessible à tout moment, n'importe où et indéfiniment via votre profil.
Garantie de remboursement : comment ça marche ?
Notre garantie de satisfaction garantit que vous trouverez toujours un document d'étude qui vous convient. Vous remplissez un formulaire et notre équipe du service client s'occupe du reste.
Auprès de qui est-ce que j'achète ce résumé ?
Stuvia est une place de marché. Alors, vous n'achetez donc pas ce document chez nous, mais auprès du vendeur Perfectscorer. Stuvia facilite les paiements au vendeur.
Est-ce que j'aurai un abonnement?
Non, vous n'achetez ce résumé que pour 13,18 €. Vous n'êtes lié à rien après votre achat.
