NR 328 EXAM QUESTIONS AND ANSWERS A+
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Causes of growth hormone deficiency
Tumors
Pituitary gland abnormalities
Head trauma
Genetic abnormalities
The pituitary gland is part of the endocrine system and is controlled by signals
from the_________. The anterior gland secretes growth hormones.
hypothalamus
Children with insufficient growth hormone may present with:
short stature
low growth velocity for age
increased abdominal fat
delayed tooth development
delayed onset of puberty
elevated LDL cholesterol levels
Children with growth hormone deficiency often have normal growth during the
first year of life. As they age, they present as short in stature and are often
__________ for their height.
overweight
The nurse is caring for a pediatric client who was diagnosed with growth
hormone deficiency and is beginning growth hormone therapy. Which statement
by the parent indicates further education is needed?
"Growth hormone treatment will help my child reach an adult height."
Children receiving growth hormone therapy will likely experience the most
growth during the ______ year of treatment, but they will still grow at a slower
rate than other children.
first
Growth hormone is administered subcutaneously in the arm, thigh, or abdomen
at _________ because that aligns with the physiological release of growth
hormone within 45-90 minutes after the onset of sleep.
bedtime
Which is the best statement by the nurse when explaining an MRI procedure to a
child?
"You will have a special drink that makes you tired and then we will take some pictures."
special drink=medicine
makes you tired= puts you to sleep
findings that are consistent with familial short stature and hypothyroidism
height at 2nd percentile
delayed growth
findings consistent with growth hormone deficiency
, Delayed loss of baby teeth
Height at 2nd percentile
High low-density lipoprotein (LDL) cholesterol
Delayed growth
Clients with diabetes mellitus type __ have decreased or lack insulin secretions
and require insulin to lower their blood glucose levels to the normal range
1
Clients with diabetes mellitus type __ have defective insulin receptors and may
be able to manage their blood glucose levels by diet, exercise, or oral
hypoglycemic agents.
2
The nurse is providing education for the family of a pediatric client recently
diagnosed with diabetes mellitus type 1. Which are important teaching points for
the nurse to include?
Medication management
Signs/symptoms of hypoglycemia
Diet management
Blood glucose monitoring
Signs/symptoms of hyperglycemia
CM of type 1 diabetes
Fruity Smelling Breath
Fatigue
Frequent Urination (polyuria)
Extreme Hunger (polyphagia)
Increased Thirst (polydipsia)
CM of type 2 diabetes
Darkened areas of skin
Fatigue
Increased Thirst (polydipsia)
Frequent Urination (polyuria)
Normal Hemoglobin A1C level
less than 6.5%
anything higher indicates diabetes
symptoms of hypoglycemia
tachycardia/tremors
sweating
pallor
irritability
hunger
sleepiness
lack of coordination
symptoms of hyperglycemia
dry mouth
increased thirst
weakness
headache
GRADED .Buy Quality Materials!
Causes of growth hormone deficiency
Tumors
Pituitary gland abnormalities
Head trauma
Genetic abnormalities
The pituitary gland is part of the endocrine system and is controlled by signals
from the_________. The anterior gland secretes growth hormones.
hypothalamus
Children with insufficient growth hormone may present with:
short stature
low growth velocity for age
increased abdominal fat
delayed tooth development
delayed onset of puberty
elevated LDL cholesterol levels
Children with growth hormone deficiency often have normal growth during the
first year of life. As they age, they present as short in stature and are often
__________ for their height.
overweight
The nurse is caring for a pediatric client who was diagnosed with growth
hormone deficiency and is beginning growth hormone therapy. Which statement
by the parent indicates further education is needed?
"Growth hormone treatment will help my child reach an adult height."
Children receiving growth hormone therapy will likely experience the most
growth during the ______ year of treatment, but they will still grow at a slower
rate than other children.
first
Growth hormone is administered subcutaneously in the arm, thigh, or abdomen
at _________ because that aligns with the physiological release of growth
hormone within 45-90 minutes after the onset of sleep.
bedtime
Which is the best statement by the nurse when explaining an MRI procedure to a
child?
"You will have a special drink that makes you tired and then we will take some pictures."
special drink=medicine
makes you tired= puts you to sleep
findings that are consistent with familial short stature and hypothyroidism
height at 2nd percentile
delayed growth
findings consistent with growth hormone deficiency
, Delayed loss of baby teeth
Height at 2nd percentile
High low-density lipoprotein (LDL) cholesterol
Delayed growth
Clients with diabetes mellitus type __ have decreased or lack insulin secretions
and require insulin to lower their blood glucose levels to the normal range
1
Clients with diabetes mellitus type __ have defective insulin receptors and may
be able to manage their blood glucose levels by diet, exercise, or oral
hypoglycemic agents.
2
The nurse is providing education for the family of a pediatric client recently
diagnosed with diabetes mellitus type 1. Which are important teaching points for
the nurse to include?
Medication management
Signs/symptoms of hypoglycemia
Diet management
Blood glucose monitoring
Signs/symptoms of hyperglycemia
CM of type 1 diabetes
Fruity Smelling Breath
Fatigue
Frequent Urination (polyuria)
Extreme Hunger (polyphagia)
Increased Thirst (polydipsia)
CM of type 2 diabetes
Darkened areas of skin
Fatigue
Increased Thirst (polydipsia)
Frequent Urination (polyuria)
Normal Hemoglobin A1C level
less than 6.5%
anything higher indicates diabetes
symptoms of hypoglycemia
tachycardia/tremors
sweating
pallor
irritability
hunger
sleepiness
lack of coordination
symptoms of hyperglycemia
dry mouth
increased thirst
weakness
headache
