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Nur 311 Exam 2 Study Guide Practice Questions With Correct Answers

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Nur 311 Exam 2 Study Guide Practice Questions With Correct Answers

Institution
NUR 311
Course
NUR 311

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Nur 311 Exam 2 Study Guide Practice
Questions With Correct Answers

PKU diet to follow - CORRECT ANSWER✔✔-Breast Feeding or PA+ Free
| | | | | | | | | | |



Formula. Restricted PA + Intake Throughout Life; No meat, limited fruits
| | | | | | | | | | |



& vegetables, limited grains
| | |




What happens if people with PKU don't follow their diet - CORRECT
| | | | | | | | | | | |



ANSWER✔✔-Short Attention Span | |




Poor short term memory
| | |




Visual perception problems
| |




Poor motor coordination
| | |




Mood disorders |




Brain structural changes (reduced grey matter)
| | | | |




Safe PKU level - CORRECT ANSWER✔✔-2-6mg/dl
| | | | |




PKU nursing Considerations - CORRECT ANSWER✔✔-Assist with testing
| | | | | | |




Teach parents about diet and need for follow up blood levels
| | | | | | | | | | |



throughout life |




Child may have trouble adhering to diet as ages
| | | | | | | |

,Provide emotional support | |




Genetic counseling |




What kind of diet should a child with Galactosemia Follow - CORRECT
| | | | | | | | | | | |



ANSWER✔✔-lactose free diet; soy formula | | | |




Calcium supplementation. | |




Dark green leafy green veggies are good
| | | | | |




Can galactosemia breastfeed? - CORRECT ANSWER✔✔-NO!!! AVOID!!!
| | | | | | |



Need soy formula and calcium supplementation
| | | | |




Long-term consequences if diet not followed for galactosemia -
| | | | | | | | |



CORRECT ANSWER✔✔-learning disabilities, lower IQs, short attention
| | | | | | |



span, behavior problems
| |




Clinical Manifestations of galactosemia - CORRECT ANSWER✔✔-
| | | | | |



vomiting, weight loss, jaundice (hepatomegaly), lethargy, hypotonia,
| | | | | | |



cataracts (galactose accumulation)
| |




When should growth hormone be given? - CORRECT ANSWER✔✔-
| | | | | | | |



NIGHT TIME!!! Sub Q injections given @ night 5x a week. Is stopped
| | | | | | | | | | | | |



once when child is where they are supposed to be height wise.
| | | | | | | | | | |

,Realistic expectations for Growth hormone - CORRECT ANSWER✔✔-
| | | | | | |



Growth hormone will only make them grow to what they were
| | | | | | | | | | |



supposed to grow. So giving it to them won't make them a 7'0 Center for
| | | | | | | | | | | | | |



UK.
|




Nursing considerations for Growth Hormone therapy - CORRECT
| | | | | | | |



ANSWER✔✔-serial blood draws q 30 minutes for 3-hours following | | | | | | | | |



stimulation with insulin or glycogen. | | | |




Treat with chronological age not developmental age
| | | | | |




Incomplete puberty - CORRECT ANSWER✔✔-Premature thelarche
| | | | |




Premature pubarche |




What is considered True or complete precocious puberty - CORRECT
| | | | | | | | | |



ANSWER✔✔-When Puberty HAPPENS EARLY!!! | | |




What drug is for Precocious puberty - CORRECT ANSWER✔✔-Lupron.
| | | | | | | | |



Slows prepubertal growth to normal rates
| | | | |




Given IM monthly
| |




When to Stop Lupron Treatment - CORRECT ANSWER✔✔-Treatment is
| | | | | | | | |



discontinued at age for normal pubertal changes to resume
| | | | | | | |

, Precocious Puberty - CORRECT ANSWER✔✔-a condition in which
| | | | | | | |



puberty begins before the age of 8 in girls and 9 in boys. Testicular
| | | | | | | | | | | | | |



enlargement in boys and breast enlargement in girls 1st sign
| | | | | | | | |




What drug is used for Treatment of CAH - CORRECT ANSWER✔✔-
| | | | | | | | | |



Cortisone to suppress abnormally high secretion of ACTH for LIFE.
| | | | | | | | | |



Reconstructive surgery as required. | | |




What is something a person with CAH should always be wearing? -
| | | | | | | | | | | |



CORRECT ANSWER✔✔-Medical alert Bracelet
| | |




Detection of CAH in males - CORRECT ANSWER✔✔-precocious genital
| | | | | | | | |



development


Detection of CAH in females - CORRECT ANSWER✔✔--Enlarged clitoris
| | | | | | | | |



appears as a small phallus
| | | |




-Fused labia produce saclike structure without testes
| | | | | |




-Internal female sexual organs are intact
| | | | |




Diagnostic Evaluation for CAH - CORRECT ANSWER✔✔--
| | | | | |



Ultrasonography to visualize pelvic organs | | | |




-Chromosome typing for positive sex determination and to rule out any
| | | | | | | | | | |



other genetic anomalies
| |

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Institution
NUR 311
Course
NUR 311

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