NUR2010 Final Exam Comprehensive Guide: Complete Review of All Nursing Competencies

NUR2010 Final Exam Comprehensive Guide: Complete Review of All Nursing CompetenciesNUR2010 Final Exam Comprehensive Guide: Complete Review of All Nursing CompetenciesNUR2010 Final Exam Comprehensive Guide: Complete Review of All Nursing Competencies NUR2010 Final Exam Comprehensive Guide: Complete Review of All Nursing Competencies 1. Patho of HYPOpituitarism: - growth hormone deficiency due to LOW amounts of growth hormones (patients will be small & frail) - can be caused by congenital defect, trauma that damages pituitary gland, pituitary tumor, or issue with hypothalamus 2. Signs & Symptoms of Hypopituitarism: dwarfism, developmental delay, vari- ous visual and neurological symptoms, seizure disorder, congenital malformations, delayed sexual maturation (amenorrhea, micropenis, undescended testicles), hypo- glycemia, diabetes 3. Diagnostics for hypopituitarism: Not something that is automatically screened for, but will be obvious when height & weight is plotted & there is no progression - hormone stimulation test: administer insulin, argining, glucagon and check the release of growth hormones - Bone density tests - Xrays/CT scans 4. Treatment of hypopituitarism: Biosynthetic growth hormone injection Somat- ropin (Humatrope) - VERY EXPENSIVE and child will only take until they reach optimal height (what height this is will depend on parents/pediatrician discussion) Other hormone replacements (levothyroxine, estrogen, testosterone, progesterone, synthroid, cortisone) 5. Nursing teaching for hypothyroidism: - Patient not growing taller, but growing wider - body image issues - Teaching about growth hormone injections - 2cm from umbilicus or thighs, rotate sites, teach infection control, teach child how to clean and eventually adminster these injections on their own (so they can be involved in their own healthcare) 6. patho of precocious puberty: Disorder of gonads, adrenal glands, or hypothal- amic-pituitary-gonadal axis - cause is usually unknown 2 types - central (most common, kids can reproduce & have somatic growth) & peripheral (overproduction of gonads, increased sex organ sensitivity) 7. S&S of precocious puberty: Sexual development before 9 in boys (typically 11-14) or before 8 in girls (usually 10-12) 8. Treatment/management of precocious puberty: Can treat the cause if the cause is known - Surgery, chemo, radiation to remove any tumors - GnRH analog for central precocious puberty - Girls: luteinizing hormone