pediatric endocrine (NCLEX questions) questions and answers verified 100%

pediatric endocrine (NCLEX questions) questions and answers verified 100% During teaching, the nurse should advise the family of a child newly-diagnosed with Graves' disease to: *A.* Encourage outdoor activities *B.* Limit bathing to prevent skin irritation *C.* Promote interaction with one friend instead of a group *D.* Set the thermostat higher than normal for comfort - *C.* Promote interaction with one friend instead of a group Children with Graves' disease (an autoimmune conditions that causes hyperthyriodism) tend to be more emotionally labile, and may have difficulty managing group dynamics. Sweating and feeling too warm are common complaints; showering should be encouraged. Bright light, such as sunshine, may be irritating because of disease-related ophthalmopathy. A student with type I diabetes mellitus complains of feeling lightheaded. Her blood sugar is 60 mg/dL. Using the 15/15 rule, the nurse should: *A.* give 15 mL of juice, and repeat does in 15 minutes *B.* give 15 grams of carbohydrates and retest blood sugar in 15 minutes *C.* Give 15 grams of carbohydrates and 15 g of protein *D.* Give 15 ounces of juice and retest blood sugar in 15 minutes - *B.* give 15 grams of carbohydrates and retest blood sugar in 15 minutes 15/15 rule states to give 15 g of carbohydrates (approx 60 calories; roughly 4 oz of juice or a tablespoon of honey or sugar). Protein by itself will treat hypoglycemia. Only 15 mL of juice does not contain enough calories to increase the blood sugar. Fifteen oz of juice nearly 4 times the recommended amount The nurse knows that diabetic teaching has been effective when parents of a newly diagnosed child state they will, during an illness, provide the child with: *A.* more insulin *B.* more calories *C.* less insulin *D.* less protein - *A.* more insulin Illness causes greater insulin resistance, so more is needed to achieve normal blood glucose levels. Increased calorie intake will be ineffective without more insulin to assist the body with metabolizing those calories. Restricting protein is not recommended, but during illness, fluids and light carbohydrates are usually tolerated best. An adolescent with Addison's disease may need an increased dosage of glucocorticoids to which of the following situations? *A.* completing spring semester of school *B.* Gaining 7 pounds *C.* Death of a family member *D.* Undergoing a root canal - *D.* Undergoing a root canal Physical stress, such as infection, surgery, dental work and pregnancy, can lead to adrenal crisis in those with Addison's disease. Psychological stress has less effect than physical stress. Adrenal insufficiency leads to weight loss. Substance known to disrupt normal hormone-related growth and development of children include all the following except: *A.* Aloin *B.* Dioxins *C.* Oral contraceptives *D.* Coumestans derived from alfalfa - *A.* Aloin Aloin is the one of the active compounds found in aloe vera gel, and has not been found to affect childhood growth and development. Dioxins are toxic byproducts of industrial processes. Oral contraceptives contain female sex hormones that can alter normal sexual development in children based on their time of exposure. Coumestans, while natural compounds found in some plants, are co