Chapter 34: Child With a Metabolic Condition

Chapter 34: Child With a Metabolic Condition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Which statement regarding the endocrine system is accurate?

1)	The hypothalamus is a photosensitive gland that receives light through the optic nerve.
2)	The pituitary gland produces two hormones called thyroxin and triiodothyronine.
3)	The pancreas produces insulin and glucagon, which affect metabolism.
4)	The adrenal glands produce steroidal sex hormones that regulate changes at puberty.

 

 

____     2.   Which clinical manifestation does the nurse anticipate when assisting with the assessment of a child diagnosed with acromegaly?

1)	Weight loss
2)	Hyperglycemia
3)	Osteoarthritis
4)	Dry skin

 

 

____     3.   Which should the nurse anticipate when providing care to a pediatric patient diagnosed with diabetes insipidus (DI)?

1)	Anuria
2)	Oliguria
3)	Dependent edema
4)	Uncontrolled diuresis

 

 

____     4.   Which is the priority nursing action when providing care for a school-aged child admitted to the hospital experiencing an adrenal crisis?

1)	Administering prescribed fluids and electrolytes
2)	Clustering care to enhance rest
3)	Monitoring stool output
4)	Providing pain relief and tepid baths

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  3

Chapter number and title: 34: Child With a Metabolic Condition

Chapter learning objective: Review the functions of the endocrine glands and the hormones secreted by each.

Chapter page reference: 565

Heading: Pancreas

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Metabolism

Difficulty: Easy

 

	Feedback
1	The hypothalamus communicates the messages of the central autonomic nervous system to the organs/glands of the endocrine system, thus working to create and maintain homeostasis throughout the body.
2	The thyroid produces two hormones called thyroxin (T4) and triiodothyronine (T3) that control growth and development.
3	As an endocrine gland, the pancreas produces both insulin and glucagon, which in turn are carried to the body through the bloodstream. These hormones are antagonistic and have opposite effects in metabolism.
4	The gonads produce several steroidal sex hormones that produce and regulate changes in the male and female bodies at puberty.

 

 

PTS:   1                    CON:  Metabolism

 

2. ANS:  3

Chapter number and title: 34: Child With a Metabolic Condition

Chapter learning objective: Analyze the effect of a metabolic disorder across the life span of a child, including alterations in growth and development.

Chapter page reference: 567

Heading: Assessments of Gigantism

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Comprehension [Understanding]

Concept: Metabolism

Difficulty: Easy

 

	Feedback
1	The child diagnosed with acromegaly is often mildly to moderately obese.
2	The child diagnosed with acromegaly is not expected to have hyperglycemia.
3	The child diagnosed with acromegaly is often diagnosed with osteoarthritis.
4	The child diagnosed with acromegaly often has oily skin and acne.

 

 

PTS:   1                    CON:  Metabolism

 

3. ANS:  4

Chapter number and title: 34: Child With a Metabolic Condition

Chapter learning objective: State the conditions associated with the development of syndrome of inappropriate antidiuretic hormone (SIADH).

Chapter page reference: 566

Heading: Nursing Considerations for SIADH

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Comprehension [Understanding]

Concept: Fluid and Electrolyte Balance

Difficulty: Easy

 

	Feedback
1	Anuria is not a clinical manifestation the nurse should anticipate when providing care to a pediatric patient diagnosed with DI.
2	Oliguria is not a clinical manifestation the nurse should anticipate when providing care to a pediatric patient diagnosed with DI.
3	Dependent edema is not a clinical manifestation the nurse should anticipate when providing care to a pediatric patient diagnosed with DI.
4	Uncontrolled diuresis is a clinical manifestation associated with DI.

 

 

PTS:   1                    CON:  Fluid and Electrolyte Balance

 

4. ANS:  1

Chapter number and title: 34: Child With a Metabolic Condition

Chapter learning objective: Discuss the need for long-term care and follow-up for children who are diagnosed with a metabolic disorder.

Chapter page reference: 565

Heading: Adrenal

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Analysis [Analyzing]

Concept: Fluid and Electrolyte Balance

Difficulty: Difficult

 

	Feedback
1	When a child is hospitalized in an adrenal crisis, the focus of nursing care is on fluid and electrolyte replacement. The pediatric nurse must monitor closely for signs of hypovolemic shock. The nurse understands that peripheral circulation must be checked often (capillary refill, color, pulses, and extremity temperature).
2	Clustering care to enhance rest is not the priority nursing action.
3	Monitoring stool output is not the priority nursing action.
4	Providing pain relief and tepid baths is not the priority nursing action.

 

 

PTS:   1                    CON:  Fluid and Electrolyte Balance