Quiz 16

Question 1

Parent has a child with hypopituitarism and asks why it occured. Which response is appropriate?

Answer 1

There are many possible causes, and we often don’t know.

Question 2

Teaching parent’s of a child with growth hormone deficiency about med administration. Which action indicates goals of teaching have been met?

Answer 2

Administers growth hormone using sub. q technique.

Question 3

6 month old in the ER states that baby no longer makes tears and having multiple soaked diapers/day. Which assessment is priority?

Answer 3

Palpation of fontanels

Question 4

At what level does hyponatremia pose threat of causing seizures?

Answer 4

less than 125 mEq/L

Question 5

Why does a child with hypothyroidism have increased levels of thyroid stimulating hormone?

Answer 5

Pituitary gland keeps secreting TSH to try to make the thyroid function.

Question 6

Nurse is on the endocrine unit and has 4 patients. Who does she see first?

Answer 6

Had humalog injection and is not eating.

Question 7

Diabetic child is sweating, nauseated, and has a headache. What action is the priority?

Answer 7

Give child some orange juice.

Question 8

Type 1 DM hospitalized with infection. Which lab is most important?

Answer 8

Hemoglobin A1c 9.8%

Question 9

Signs of Addisons’s disease

Answer 9

Hyperpigmentation
Ketonemia
Low sodium

Question 10

Signs of type 1 DM

Answer 10

Polydipsia
Polyphagia
Polyuria

Question 11

Child with SIADH. Parents ask why sodium level is so low. Best response

Answer 11

The water your child retains is diluting the sodium