Inquire through: | Professional | Confidential Support
CHAPTER 26:Nursing Care of the Child With
an Alteration in Metabolism/Endocrine
Disorder Verified and Updated Questions
and Answers (100% Correct Answers)
1. The nurse is obtaining a health history from parents whose 4-month-old boy has
congenital hypothyroidism. What would the nurse most likely assess?
A) The child has above-normal growth for his age.
B) The child is active and playful.
C) The skin is pink and healthy looking.
D) It is difficult to keep the child awake.
Answer: D) It is difficult to keep the child awake.
Feedback:
The parents may state, during the health history, that it is difficult to keep the child
awake. Physical examination would reveal that the child is below weight and height,
that his skin is pale and mottled, and that he is lethargic and irritable.
2. The nurse is caring for an 8-year-old girl with hyperpituitarism. What ordered
treatment will the nurse expect to perform?
A) Give desmopressin acetate intranasally
B) Inject octreotide acetate
C) Give 1 mg/kg/day of methimazole
D) Administer glipizide orally
Answer: B) Inject octreotide acetate
Feedback:
The nurse would give the child a subcutaneous injection of octreotide acetate every
12 hours as directed. Desmopressin is a synthetic antidiuretic hormone used to treat
,Inquire through: | Professional | Confidential Support
diabetes insipidus. Methimazole is an antithyroid drug used to treat
hyperthyroidism. Glipizide is a hypoglycemic drug that assists insulin production in
children with diabetes mellitus type 2.
3. The nurse is developing a plan of care for a 7-year-old boy with diabetes insipidus.
What is the priority nursing diagnosis?
A) Deficient fluid volume related to dehydration
B) Excess fluid volume related to edema
C) Deficient knowledge related to fluid intake regimen
D) Imbalanced nutrition, more than body requirements related to excess weight
Answer: A) Deficient fluid volume related to dehydration
Feedback:
The priority nursing diagnosis most likely would be deficient fluid volume related to
dehydration, due to a deficiency in the secretion of antidiuretic hormone (ADH).
Excess fluid would result from a disorder that leads to water retention, such as
syndrome of inappropriate antidiuretic hormone (SIADH). Deficient knowledge
related to fluid intake regimen is a nursing diagnosis for this child, but a secondary
one. Imbalanced nutrition, more than body requirements related to excess weight
would be inappropriate for this child since he probably has lost weight secondary to
the fluid loss.
4. The nurse is assessing a 9-year-old girl with a history of tuberculosis at age 6
years. She has been losing weight and has no appetite. The nurse suspects Addison
disease based on which assessment findings?
A) Arrested height and increased weight
B) Thin, fragile skin and multiple bruises
C) Hyperpigmentation and hypotension
D) Blurred vision and enuresis
Answer: C) Hyperpigmentation and hypotension
Feedback:
, Inquire through: | Professional | Confidential Support
Hyperpigmentation and hypotension would point to Addison disease. Arrested height
and increased weight are typical of acquired hypothyroidism; this girl has lost
weight. Thin, fragile skin and multiple bruises are indicative of Cushing syndrome.
Blurred vision, headaches, and enuresis would be complaints of a child with diabetes
mellitus.
5.
The nurse is caring for a 13-year-old girl with delayed puberty. Based on the nurse's
knowledge of this condition, the nurse would include which nursing diagnosis in the
child's plan of care?
A) Disabled family coping related to the child's disorder
B) Imbalanced nutrition, less than body requirements related to the child's short
stature
C) Noncompliance related to the need for lifelong hormone therapy
D) Deficient knowledge related to the administration of estradiol
Answer: D) Deficient knowledge related to the administration of estradiol
Feedback:
Deficient knowledge related to the administration of estradiol is an appropriate
nursing diagnosis for this child. There are oral, transdermal, topical, injectable, and
vaginal preparations available. Disabled family coping due to the child's disorder and
noncompliance due to long-term therapy are not likely diagnoses because of the
simplicity and brevity of the treatment for this disorder. Imbalanced nutrition
evidenced by short stature would be appropriate for a child with growth hormone
deficiency
6.
The nurse is preparing a teaching plan for the family and their 6-year-old son who
has just been diagnosed with diabetes mellitus. What would the nurse identify as the
initial goal for the teaching plan?
A) Developing management and decision-making skills
B) Educating the parents about diabetes mellitus type 1
CHAPTER 26:Nursing Care of the Child With
an Alteration in Metabolism/Endocrine
Disorder Verified and Updated Questions
and Answers (100% Correct Answers)
1. The nurse is obtaining a health history from parents whose 4-month-old boy has
congenital hypothyroidism. What would the nurse most likely assess?
A) The child has above-normal growth for his age.
B) The child is active and playful.
C) The skin is pink and healthy looking.
D) It is difficult to keep the child awake.
Answer: D) It is difficult to keep the child awake.
Feedback:
The parents may state, during the health history, that it is difficult to keep the child
awake. Physical examination would reveal that the child is below weight and height,
that his skin is pale and mottled, and that he is lethargic and irritable.
2. The nurse is caring for an 8-year-old girl with hyperpituitarism. What ordered
treatment will the nurse expect to perform?
A) Give desmopressin acetate intranasally
B) Inject octreotide acetate
C) Give 1 mg/kg/day of methimazole
D) Administer glipizide orally
Answer: B) Inject octreotide acetate
Feedback:
The nurse would give the child a subcutaneous injection of octreotide acetate every
12 hours as directed. Desmopressin is a synthetic antidiuretic hormone used to treat
,Inquire through: | Professional | Confidential Support
diabetes insipidus. Methimazole is an antithyroid drug used to treat
hyperthyroidism. Glipizide is a hypoglycemic drug that assists insulin production in
children with diabetes mellitus type 2.
3. The nurse is developing a plan of care for a 7-year-old boy with diabetes insipidus.
What is the priority nursing diagnosis?
A) Deficient fluid volume related to dehydration
B) Excess fluid volume related to edema
C) Deficient knowledge related to fluid intake regimen
D) Imbalanced nutrition, more than body requirements related to excess weight
Answer: A) Deficient fluid volume related to dehydration
Feedback:
The priority nursing diagnosis most likely would be deficient fluid volume related to
dehydration, due to a deficiency in the secretion of antidiuretic hormone (ADH).
Excess fluid would result from a disorder that leads to water retention, such as
syndrome of inappropriate antidiuretic hormone (SIADH). Deficient knowledge
related to fluid intake regimen is a nursing diagnosis for this child, but a secondary
one. Imbalanced nutrition, more than body requirements related to excess weight
would be inappropriate for this child since he probably has lost weight secondary to
the fluid loss.
4. The nurse is assessing a 9-year-old girl with a history of tuberculosis at age 6
years. She has been losing weight and has no appetite. The nurse suspects Addison
disease based on which assessment findings?
A) Arrested height and increased weight
B) Thin, fragile skin and multiple bruises
C) Hyperpigmentation and hypotension
D) Blurred vision and enuresis
Answer: C) Hyperpigmentation and hypotension
Feedback:
, Inquire through: | Professional | Confidential Support
Hyperpigmentation and hypotension would point to Addison disease. Arrested height
and increased weight are typical of acquired hypothyroidism; this girl has lost
weight. Thin, fragile skin and multiple bruises are indicative of Cushing syndrome.
Blurred vision, headaches, and enuresis would be complaints of a child with diabetes
mellitus.
5.
The nurse is caring for a 13-year-old girl with delayed puberty. Based on the nurse's
knowledge of this condition, the nurse would include which nursing diagnosis in the
child's plan of care?
A) Disabled family coping related to the child's disorder
B) Imbalanced nutrition, less than body requirements related to the child's short
stature
C) Noncompliance related to the need for lifelong hormone therapy
D) Deficient knowledge related to the administration of estradiol
Answer: D) Deficient knowledge related to the administration of estradiol
Feedback:
Deficient knowledge related to the administration of estradiol is an appropriate
nursing diagnosis for this child. There are oral, transdermal, topical, injectable, and
vaginal preparations available. Disabled family coping due to the child's disorder and
noncompliance due to long-term therapy are not likely diagnoses because of the
simplicity and brevity of the treatment for this disorder. Imbalanced nutrition
evidenced by short stature would be appropriate for a child with growth hormone
deficiency
6.
The nurse is preparing a teaching plan for the family and their 6-year-old son who
has just been diagnosed with diabetes mellitus. What would the nurse identify as the
initial goal for the teaching plan?
A) Developing management and decision-making skills
B) Educating the parents about diabetes mellitus type 1
