NR 328 exam 2 UPDATED ACTUAL Questions and CORRECT
Answers
Causes of growth hormone deficiency Tumors
Pituitary gland abnormalities
Head trauma
Genetic abnormalities
The pituitary gland is part of the endocrine system and is hypothalamus
controlled by signals from the___ _. The anterior gland
secretes growth hormones.
Children with insufficient growth hormone may present short stature
with: 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 overweight
normal growth during the first year of life. As they age,
they present as short in stature and are often _______ for
their height.
The nurse is caring for a pediatric client who was "Growth hormone treatment will help my child reach an adult height."
diagnosed with growth hormone deficiency and is
beginning growth hormone therapy. Which statement by
the parent indicates further education is needed?
Children receiving growth hormone therapy will likely first
experience the most growth during the _ year of
treatment, but they will still grow at a slower rate than
other children.
Growth hormone is administered subcutaneously in the bedtime
arm, thigh, or abdomen at ___ because that aligns with
the physiological release of growth hormone within 45-
90 minutes after the onset of sleep.
Which is the best statement by the nurse when explaining "You will have a special drink that makes you tired and then we will take some
an MRI procedure to a child? pictures."
special drink=medicine
makes you tired= puts you to sleep
findings that are consistent with familial short stature and height at 2nd percentile
hypothyroidism 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 1
lack insulin secretions and require insulin to lower their
blood glucose levels to the normal range
Clients with diabetes mellitus type __ have defective 2
insulin receptors and may be able to manage their blood
glucose levels by diet, exercise, or oral hypoglycemic
agents.
The nurse is providing education for the family of a Medication management
pediatric client recently diagnosed with diabetes mellitus Signs/symptoms of hypoglycemia
type 1. Which are important teaching points for the nurse Diet management
to include? 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
blurred vision
frequent urination
Answers
Causes of growth hormone deficiency Tumors
Pituitary gland abnormalities
Head trauma
Genetic abnormalities
The pituitary gland is part of the endocrine system and is hypothalamus
controlled by signals from the___ _. The anterior gland
secretes growth hormones.
Children with insufficient growth hormone may present short stature
with: 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 overweight
normal growth during the first year of life. As they age,
they present as short in stature and are often _______ for
their height.
The nurse is caring for a pediatric client who was "Growth hormone treatment will help my child reach an adult height."
diagnosed with growth hormone deficiency and is
beginning growth hormone therapy. Which statement by
the parent indicates further education is needed?
Children receiving growth hormone therapy will likely first
experience the most growth during the _ year of
treatment, but they will still grow at a slower rate than
other children.
Growth hormone is administered subcutaneously in the bedtime
arm, thigh, or abdomen at ___ because that aligns with
the physiological release of growth hormone within 45-
90 minutes after the onset of sleep.
Which is the best statement by the nurse when explaining "You will have a special drink that makes you tired and then we will take some
an MRI procedure to a child? pictures."
special drink=medicine
makes you tired= puts you to sleep
findings that are consistent with familial short stature and height at 2nd percentile
hypothyroidism 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 1
lack insulin secretions and require insulin to lower their
blood glucose levels to the normal range
Clients with diabetes mellitus type __ have defective 2
insulin receptors and may be able to manage their blood
glucose levels by diet, exercise, or oral hypoglycemic
agents.
The nurse is providing education for the family of a Medication management
pediatric client recently diagnosed with diabetes mellitus Signs/symptoms of hypoglycemia
type 1. Which are important teaching points for the nurse Diet management
to include? 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
blurred vision
frequent urination
