Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer
Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer
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Chapter 31: The Child with a Metabolic Condition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | They are usually autosomal recessive. |
| b. | They are usually autosomal dominant. |
| c. | They are usually X-linked recessive. |
| d. | They are usually multifactorial. |
ANS: A
The pattern of inheritance is generally autosomal recessive.
DIF: Cognitive Level: Knowledge REF: Page 704 OBJ: 2
TOP: Tay-Sachs KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
| a. | Protein synthesis is increased. |
| b. | Increased fat breakdown leads to ketonemia. |
| c. | Serum glucose levels are markedly decreased. |
| d. | More rapid conversion and storage of carbohydrates to glucose occurs. |
ANS: B
When insulin is deficient, the body cannot metabolize carbohydrates for energy. The body is also unable to store and use fat properly. Incomplete fat metabolism produces ketone bodies that accumulate in the blood.
DIF: Cognitive Level: Comprehension REF: Page 706 OBJ: 9
TOP: Diabetes Mellitus KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | There is an absolute deficiency of insulin. |
| b. | Insufficient quantities of insulin are produced by the pancreas. |
| c. | Oral hypoglycemic agents can control it. |
| d. | Insulin deficiency is caused by another disease affecting the pancreas. |
ANS: A
Type 1 insulin-dependent diabetes mellitus is characterized by an absolute or complete deficiency of insulin.
DIF: Cognitive Level: Comprehension REF: Page 707, Table 31-2
OBJ: 5 TOP: Diabetes Mellitus
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Notify the charge nurse. |
| b. | Give the patient a snack of graham crackers and milk. |
| c. | Ambulate the patient in the hall for a short time. |
| d. | Give the patient more insulin according to the sliding scale. |
ANS: B
A child who receives regular insulin before meals may have an insulin reaction if food is not eaten within 20 minutes. A snack of graham crackers and milk will prevent an episode of hypoglycemia.
DIF: Cognitive Level: Application REF: Page 714, Table 31-6
OBJ: 9 TOP: Prevention of Hypoglycemia
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
| a. | Walk the patient in the hall for 10 minutes. |
| b. | Allow the patient a short nap. |
| c. | Give her a cup of orange juice. |
| d. | Test her blood with a glucometer and give insulin according to the sliding scale. |
ANS: C
The immediate remedy is to give orange juice to raise the blood glucose. Giving more sugar will increase the blood glucose in a hyperglycemic child. Walking exercise will use up even more glucose. The treatment for hyperglycemia is to give the patient more insulin.
DIF: Cognitive Level: Application REF: Page 714, Table 31-6
OBJ: 7 TOP: Hypoglycemia
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
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