NURS 420 EXAM 2 STUDY GUIDE TEMPLATE WITH ALL QUESTIONS ANSWERED PERFECTLY!!

NURS 420 EXAM 2 STUDY GUIDE TEMPLATE WITH ALL
QUESTIONS ANSWERED PERFECTLY!!
nursing interventions of precocious puberty
Answers :-GnRH agonist= suppresses gonadotropin release, causing the child's
growth rate to slow
-Nursing care should focus on teaching the patient and family about the diagnosis
and the physical changes that they should expect
-Provide support for a child's mental health with the diagnosis of precocious
puberty
-Provide them with a safe space to discuss changes that are occurring in their body
brief description of growth hormone deficiency


Answers :children being smaller than other children of the same gender and age
history/risk factors of growth hormone deficiency


Answers :-structural factors
-heredity disorders
-other pituitary hormone deficiencies
assessment findings of growth hormone deficiency


Answers :-short stature but -proportional height and weight
-delayed epiphyseal closure
-increased insulin sensitivity
-delayed dentition
-underdeveloped jaw
-delayed sexual development

,nursing interventions of growth hormone deficiency


Answers :-measure the child's height and weight
-assess and monitor effectiveness of GH replacement
-administer other hormone replacements if prescribed
-provide support to the child and family regarding psychosocial concerns (altered
body image, depression)
-stress the importance of maintaining realistic expectations based on the child's age
and abilities


medications: somatropin
complication of growth hormone deficiency


Answers :-disruption of vertical growth
-delayed epiphyseal closure
-retarded bone age
-delayed sexual development
-premature aging later in life
brief history of SIADH


Answers :excessive secretion of ADH
history/risk factors of SIADH


Answers :-head trauma
-brain tumors
-CNS infections (meningitis)

,-cystic fibrosis
-asthma
assessment findings of SIADH


Answers :-water intoxication & hyponatremia
- increased BP, jugular vein distention, fluid in the lungs, sudden weight gain, fluid
and electrolyte imbalance and a decreased urine output with concentrated urine
-decreased sodium levels
-high urine osmolality
-low serum osmolality
nursing interventions of SIADH


Answers :-monitoring for worsening symptoms of SIADH
-fluid monitoring and restriction
-demeclocycline is given to reduce reabsorption of water from the renal tubules by
blocking the action of ADH
-monitor intake and output


-continuously assess laboratory test results to monitor the child's serum sodium
levels and urine osmolarity and specific gravity
complications of SIADH


Answers :-change in mental status
-coma
-death
brief description of diabetes insipidus

, Answers :kidneys cannot concentrate urine because of a lack of the hormone
known as ADH
history/risk factors of diabetes insipidus


Answers :-Genetics
-Polycystic kidney disease
-Pituitary disorders
-Hypothalamic injury
-Head tumors
assessment findings of diabetes insipidus


Answers :-polyuria
-polydipsia
-nocturia
-enuresis
-signs and symptoms of dehydration
-serum sodium levels and osmolality are typically increased
nursing interventions of diabetes insipidus


Answers :-control dehydration and decrease urinary symptoms
-treatment include a -low-sodium , low protein diet paired with administration of
intranasal or oral desmopressin acetate, a long-acting vasopressin analog
-provide the family with teaching on medication administration and monitoring of
urine I & O
-Teach parents to encourage the child to drink