Nokea
A child with growth hormone (GH) deficiency is receiving GH therapy. When is the best time for the GH to be administered?
- A. At bedtime
- B. After meals
- C. Before meals
- D. After arising in morning
Correct Answer: A
Rationale: Administering GH at bedtime mimics the body?s natural nocturnal GH release, optimizing effectiveness. Timing after meals, before meals, or in the morning does not align with physiologic patterns.
You may also like to solve these questions
A 20-kg (44-lb) child in ketoacidosis is admitted to the pediatric intensive care unit. What order should the nurse not implement until clarified with the physician?
- A. Weigh on admission and daily.
- B. Replace fluid volume deficit over 48 hours.
- C. Begin intravenous line with D5 0.45% normal saline with 20 mEq of potassium chloride.
- D. Give intravenous regular insulin 2 units/kg/hr after initial rehydration bolus.
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.
What is a common clinical manifestation of juvenile hypothyroidism?
- A. Insomnia
- B. Diarrhea
- C. Dry skin
- D. Rapid growth
Correct Answer: C
Rationale: Dry skin is a hallmark of juvenile hypothyroidism, along with mental decline and myxedema. Hypothyroidism causes sleepiness, constipation, and slowed growth, not insomnia, diarrhea, or rapid growth.
Exophthalmos (protruding eyeballs) may occur in children with which condition?
- A. Hypothyroidism
- B. Hyperthyroidism
- C. Hypoparathyroidism
- D. Hyperparathyroidism
Correct Answer: B
Rationale: Exophthalmos is a classic sign of hyperthyroidism, often due to Graves? disease, from tissue swelling behind the eyes. It is not associated with hypothyroidism, hypoparathyroidism, or hyperparathyroidism.
A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing considerations should be based on which knowledge?
- A. Therapy is most successful if it is started during adolescence.
- B. Replacement therapy requires daily subcutaneous injections.
- C. Hormonal supplementation will be required throughout childs lifetime.
- D. Treatment is considered successful if children attain full stature by adolescence.
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.
The nurse is planning care for a child recently diagnosed with diabetes insipidus (DI). What intervention should be included?
- A. Encourage the child to wear medical identification.
- B. Discuss with the child and family ways to limit fluid intake.
- C. Teach the child and family how to do required urine testing.
- D. Reassure the child and family that this is usually not a chronic or life-threatening illness.
Correct Answer: A
Rationale: Medical identification is critical for DI, a potentially life-threatening condition requiring free access to fluids. Fluid restriction worsens dehydration, urine testing isn?t routine, and DI is chronic, requiring lifelong vasopressin.