Chapter 28: The Child with Endocrine Dysfunction - Nurselytic

Correct Answer: D

Rationale: After rapid-releasing sugar for hypoglycemia, milk (with lactose and protein) and peanut butter on bread (complex carbohydrate and protein) provide sustained glucose stabilization. Sports drinks and fruit lack protein, glucose tabs are rapid-acting, and crackers with water lack sufficient protein.

Correct Answer: C

Rationale: D5 0.45% normal saline with potassium should be clarified, as initial rehydration in DKA uses 0.9% saline, and potassium is delayed until renal function is confirmed (urine output ?25 ml/hr). Daily weights, 48-hour fluid replacement, and insulin dosing are appropriate.

Correct Answer: D

Rationale: Hypoglycemia manifests as weakness, dizziness, difficulty concentrating, sweating, and pallor due to low glucose affecting the brain and body. Lethargy, confusion, and nausea are more typical of hyperglycemia, not hypoglycemia.

Correct Answer: D

Rationale: The autonomic nervous system, comprising sympathetic and parasympathetic systems, regulates involuntary functions to maintain homeostasis with the endocrine system. Central, skeletal, and peripheral nervous systems are not part of the neuroendocrine system.

Correct Answer: B

Rationale: GH therapy involves daily subcutaneous injections, with education for self-management in school-age children. It?s most effective in younger or severely deficient children, not adolescents, and isn?t needed lifelong after final height. Success involves near-final height, not necessarily by adolescence.