Author Question: The nurse is planning care for pediatric clients who have diagnoses that impact the endocrine ... (Read 78 times)

Alainaaa8 · **on:** Jun 28, 2018

The nurse is planning care for pediatric clients who have diagnoses that impact the endocrine system. Which changes occurring during the school-age and adolescence have a direct impact on the endocrine system?

1. Puberty
2. Adrenarche
3. Menarche
4. Sexual exploration
5. Risk-taking behavior

Question 2

The nurse is planning care for a pediatric client diagnosed with adrenal hyperplasia. Which nursing diagnosis is most appropriate for this client?

1. Impaired Social Interaction Related to Unnatural Facial Features
2. Nutrition: Less than Body Requirements due to Nausea and Vomiting
3. Depression Related to Inability to Take in Oral Fluids
4. Risk for Deficient Fluid Volume Related to Failure of Regulatory Mechanisms

momo1250 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale: Puberty, adrenarche, and menarche are all changes that occur during the school age and adolescence that have a direct impact on the endocrine system. Sexual exploration and risk-taking behaviors do not have a direct impact on the endocrine system.

Answer to Question 2

Correct Answer: 4
Rationale: Adrenal hyperplasia alters the regulatory mechanisms, creating a fluid volume deficit. There is no major nutritional deficit, social interaction, or depression related directly to the diagnosis of adrenal hyperplasia.