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NCLEX-RN (8) Pediatrics > Endocrine > Flashcards

Flashcards in Endocrine Deck (9)
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1
Q

What medicine is NOT given to reduce the fever in a child?

A

Do NOT give aspirin to a child < 18 years old, it can cause Reye’s syndrome.

Give acetaminophen or NSAIDs instead. Sometimes aspirin is prescribed by the HCP for treatment of Kawasaki’s disease. So only give aspirin to a child if it’s prescribed.

2
Q

How long after an antipyretic is given should the temperature be checked again for evaluation?

A

Within 30 - 60 minutes.

3
Q

Describe:

Phenylketonuria

A

A genetic disorder where the child lacks the enzyme to break down amino acids that are found in foods that contain protein.

Toxicity can build up and cause mental retardation.

4
Q

How is phenylketonuria diagnosed?

A

With the PKU test.

Every newborn gets tested with a heel stick.

5
Q

Interventions:

Phenylketonuria

A

Restrict foods with phenylalanine:

  • infant will need to be started on a special formula or be breastfed
  • avoid meats, dairy products, and aspartame
6
Q

What types of foods should be provided to a child to prevent child obesity and type II diabetes?

A
  • drink water instead of soda, juice, or sports drinks
  • limit fast food
  • eat more fruits and vegetables, and whole grains
7
Q

What is the recommended physical activity for a child?

A
  1. be active at least 1 hour a day
  2. limit screentime to 1 hour a day - no screen time for children less than 2 years old
  3. if playing video games, play interactive games that require physical activity
8
Q

What are the warning signs and symptoms that a child may have diabetes?

A
  • increased thirst and urination
  • blurry vision
  • unusual fatigue
9
Q

Can a child be allowed to check their own glucose level and give themselves insulin?

A

YES. As long as the child has the motor skills and knowledge, they can start checking their own blood sugar and give themselves insulin starting at age 6.

Provide adult supervision.