CHAPTER 9/ Endocrine and Metabolic Conditions^195
- A patient being treated for phenylketonuria becomes lethargic, has diarrhea,
and a skin rash. What would you expect the health-care provider to order?
a. Administer glucagon.
b. Adjustment in the patient’s diet to include less phenylalanine.
c. Adjustment in the patient’s diet to include more phenylalanine.
d. Administer insulin. - Why would you place a child who is diagnosed with Graves disease in a quiet
environment?
a. To reduce unnecessary stimuli that might increase the hyperactivity already caused
by high levels of thyroid hormone.
b. To reduce unnecessary stimuli that might increase the hyperactivity already caused
by low levels of thyroid hormone.
c. To enable the family to have private time with their child.
d. To prevent the patient from annoying other patients. - A parent of a child who is diagnosed with galactosemia asks why her child has
a yellow tint on his skin. What is the best response?
a. This is jaundice and is a side effect of medication used to treat the disorder.
b. This is jaundice and is an adverse effect of medication used to treat the
disorder.
c. The child is unable to metabolize galactose resulting in the buildup of galactose in
the blood causing liver dysfunction. The liver is unable to convert bilirubin, which
is a by-product of old hemoglobin, to bile, and therefore bilirubin builds up in the
body giving it a yellow tint called jaundice.
d. The child is unable to metabolize galactose resulting in the buildup of galactose in
the blood causing liver dysfunction. - A parent whose child is recently diagnosed with type 1 diabetes mellitus tells
you that her father was just diagnosed with it also. How would you respond?
a. Explain that her father probably was diagnosed with type 2 diabetes mellitus,
which is common in the older population because the beta cells in the pancreas
can no longer produce a sufficient amount of insulin.
b. Explain that her father probably was diagnosed with type 2 diabetes mellitus,
which is common in the older population because the alpha cells in the pancreas
can no longer produce a sufficient amount of insulin.
c. Explain that her father probably was diagnosed with type 2 diabetes mellitus,
which is common in the older population because the beta cells in the pancreas
can no longer produce a sufficient amount of glucagon.
d. Explain that her father probably was diagnosed with type 2 diabetes mellitus,
which is common in the older population because the alpha cells in the pancreas
can no longer produce a sufficient amount of glucagon.