A child is diagnosed with congenital adrenal hyperplasia. The ...

[james]

A child is diagnosed with congenital adrenal hyperplasia. The child's parents ask the nurse what this means. Which response by the nurse is the most appropriate?
 
  A.
  Your child is not producing ACTH.
  B.
  Your child is not producing androgens.
  C.
  Your child is not producing cortisol.
  D.
  Your child is not producing corticosteroid-releasing hormone.

Question 2

A child has been admitted with suspected pheochromocytoma. What action by the nurse takes priority?
 
  A.
  Auscultate lung sounds every 4 hours during fluid therapy.
  B.
  Facilitate stat laboratory draws when the child has episodic symptoms.
  C.
  Perform a complete abdominal assessment including palpation.
  D.
  Withhold water for 8 hours and collect hourly urine samples.

[morrie123456]

Answer to Question 1

ANS: C
In this syndrome, the adrenal glands do not produce cortisol. The other hormones listed are produced in higher-than-normal amounts.

Answer to Question 2

ANS: B
When the child has episodic symptoms of pheochromocytoma, it is important to have stat labs drawn to measure catecholamine levels, which will be transiently high. The other actions are not warranted.