Pediatric RN Endocrine System Assessment
Questions with Correct Solutions
A nurse is caring for a pediatric client.
The nurse is aware that DM and DI can present similarly. for each finding, click to
specify if the findings are consistenr with type 1 DM, type 2 DM, or DI.
When recognizing cues, the nurse should first identify that both diabetes insipidus and
diabetes mellitus may present with polyuria and polydipsia. also need to recognize the
cues that differentiate type 1 diabetes mellitus (DM1) and type 2 diabetes mellitus. The
most common manifestations of DM1 and type 2 diabetes mellitus (DM2) are polyuria,
polydipsia, polyphagia, and weight loss. If the diagnosis is not caught early, the child
may experience vomiting, lethargy, altered level of consciousness, dehydration, and
eventually acidosis. If the child develops ketoacidosis, they will smell of ketones, and
may experience abdominal pain, Kussmaul breathing, and possibly coma. In children
with DM2, a physical exam may also show acanthosis nigricans, which is a dark rash on
the neck and axillae.
A nurse is caring for a 10 year old client in an emergency department.
Clieck to highlight the findings that require immediate follow up.
, thirsty all the time, increase bathroom visits, temperature, lips are dry and skin turgor
decreased, headaches, muscle cramping.
When analyzing cues, the nurse should identify frequent urination, excessive thirst,
weight loss, headaches, dry lips, decreased skin turgor, muscle cramping, and fever as
manifestations of dehydration, which can also be findings of a potential pituitary
disorder, more specifically, diabetes insipidus. These findings should be given to the
provider.
A nurse is assessing a pediatric client and notes swelling to the base of the neck
anteriorly, just below the laryngeal prominence. which of the following conditions
could the nurse idenify as a potential cause for the swelling?
Goiter
suprasternal retractions
cervical bruits
JVD
Goiter
Questions with Correct Solutions
A nurse is caring for a pediatric client.
The nurse is aware that DM and DI can present similarly. for each finding, click to
specify if the findings are consistenr with type 1 DM, type 2 DM, or DI.
When recognizing cues, the nurse should first identify that both diabetes insipidus and
diabetes mellitus may present with polyuria and polydipsia. also need to recognize the
cues that differentiate type 1 diabetes mellitus (DM1) and type 2 diabetes mellitus. The
most common manifestations of DM1 and type 2 diabetes mellitus (DM2) are polyuria,
polydipsia, polyphagia, and weight loss. If the diagnosis is not caught early, the child
may experience vomiting, lethargy, altered level of consciousness, dehydration, and
eventually acidosis. If the child develops ketoacidosis, they will smell of ketones, and
may experience abdominal pain, Kussmaul breathing, and possibly coma. In children
with DM2, a physical exam may also show acanthosis nigricans, which is a dark rash on
the neck and axillae.
A nurse is caring for a 10 year old client in an emergency department.
Clieck to highlight the findings that require immediate follow up.
, thirsty all the time, increase bathroom visits, temperature, lips are dry and skin turgor
decreased, headaches, muscle cramping.
When analyzing cues, the nurse should identify frequent urination, excessive thirst,
weight loss, headaches, dry lips, decreased skin turgor, muscle cramping, and fever as
manifestations of dehydration, which can also be findings of a potential pituitary
disorder, more specifically, diabetes insipidus. These findings should be given to the
provider.
A nurse is assessing a pediatric client and notes swelling to the base of the neck
anteriorly, just below the laryngeal prominence. which of the following conditions
could the nurse idenify as a potential cause for the swelling?
Goiter
suprasternal retractions
cervical bruits
JVD
Goiter
