Chapter 38: The Child with Endocrine Dysfunction

Chapter 38: The Child with Endocrine Dysfunction

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Homeostasis in the body is maintained by what is collectively known as the neuroendocrine system. The nervous system that is involved is the:

ANS:  D

The autonomic nervous system (composed of the sympathetic and parasympathetic systems) controls involuntary functions. In combination with the endocrine system, it maintains homeostasis. The central, skeletal, and peripheral subdivisions of the nervous system are not part of the neuroendocrine system.

DIF:    Cognitive Level: Comprehension     REF:   p. 1569

TOP:   Nursing Process: Assessment

MSC:  Client Needs: Physiological Integrity: Physiologic Adaptation

2. A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing considerations should be based on knowledge of which of the following?

ANS:  B

Additional support is required for children who require hormone replacement therapy, such as preparation for daily subcutaneous injections and education for self-management during the school-age years. Young children, obese children, and those who are severely GH deficient have the best response to therapy. Replacement therapy is not needed after attaining final height. The children are no longer GH deficient. When therapy is successful, children can attain their actual or near-final adult height at a slower rate than their peers.

DIF:    Cognitive Level: Analysis                REF:   p. 1574           TOP:   Nursing Process: Planning

MSC:  Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies

3. A child with growth hormone (GH) deficiency is receiving GH therapy. When is the best time for the GH to be administered?

ANS:  A

Injections are best given at bedtime to more closely approximate the physiologic release of GH. After meals, before meals, and after arising in the morning do not parallel the physiologic release of the hormone.

DIF:    Cognitive Level: Application           REF:   p. 1575

TOP:   Nursing Process: Implementation

MSC:  Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies

4. Which of the following is a condition that can result if hypersecretion of growth hormone (GH) occurs after epiphyseal closure?

ANS:  D

Excess GH after closure of the epiphyseal plates results in acromegaly. Cretinism is associated with hypothyroidism. Dwarfism is the condition of being abnormally small. Gigantism occurs when there is hypersecretion of GH before the closure of the epiphyseal plates.

DIF:    Cognitive Level: Comprehension     REF:   p. 1575

TOP:   Nursing Process: Assessment

MSC:  Client Needs: Physiological Integrity: Reduction of Risk Potential