Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 51: The Child with an Endocrine or Metabolic Alteration Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+

Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 51: The Child with an Endocrine or Metabolic Alteration Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ New parents ask the nurse, “Why is it necessary for our baby to have the newborn blood test?” The nurse explains that the priority outcome of mandatory newborn screening for inborn errors of metabolism is a. appropriate community referral for affected infants. b. parental education about raising a special needs child. c. early identification of serious genetically transmitted metabolic diseases. d. early identification of electrolyte imbalances. ANS: C Mandatory genetic screening allows early identification of genetically transmitted metabolicdisorders. These disorders can be managed best with early diagnosis and in some cases, earlytreatment prevents serious physical and cognitive delays. Community referral is appropriate after a diagnosis is made. Parental education will be important, but that is not the goal of screening. Although electrolyte imbalances could occur with some of the inborn errors of metabolism, this is not the priority outcome, nor would the newborn screen detect electrolyteimbalances. PTS: 1 DIF: Cognitive Level: Application/ApplyingREF: p. 1248 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity 2. What is the priority nursing goal for a 14-year-old with Graves’ disease? a. Relieving constipation b. Allowing the adolescent to make decisions about whether or not to take medication c. Verbalizing the importance of adherence to the medication regimen d. Developing alternative educational goals ANS: C A priority goal is for the adolescent to verbalize the need to remain adherent to the medicationregime. The adolescent with Graves’ disease is not constipated. Adherence to the medication schedule is important to ensure optimal health and wellness. Medications should not be skipped, and dose regimens should not be tapered by the child without consultation with the child’s medical provider. The management of Graves’ disease does not interfere with school attendance and does not require alternative educational plans. PTS: 1 DIF: Cognitive Level: Comprehension/UnderstandingREF: p. 1252 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity