Pediatric Nursing Demystified

Test Results

Serum: Increased galactose.

Blood: Decreased or absent GALT activity in erythrocytes.

Urine: Increased galactose.

Treatment

 Galactose (lactose)-free diet (avoid dairy products, canned and

frozen foods that contain lactose, cakes, cookies, pies, food coloring)

Nursing Intervention

Explain to the family and child the importance of avoiding dietary galactose.

4

CHAPTER 9/ Endocrine and Metabolic Conditions^189

1. A 15-year-old was brought to the Emergency Department by the police. He was agi-
   tated, sluggish, and slurring his speech. The police said they found him holding on to
   a tree urinating. They suspect he is drunk. What would you do?
   a. Prepare for a toxicology (tox) screen.
   b. Tell the police you need a parent or guardian’s permission before drawing blood
   for a tox screen.
   c. Smell the child’s breath for the smell of acetone; ask the child if he has diabetes,
   and look for a medical ID bracelet identifying him as a diabetic.
   d. Recognize that the child has diabetic ketoacidosis and inject glucagon per protocol.
   Answer:


2. The parents of 7-year-old boy who is diagnosed with type 1 diabetes mellitus asks
   why he is thirsty and has an increased appetite. What is the best response?
   a. The child is thirsty because his body is signaling the need to flush glucose from
   blood vessels into the cells.
   b. The child is thirsty because his body is signaling the need to flush excess glucose
   from the body because there is too much glucose in the cells. Because cells are in
   need of glucose, the body is signaling the child to eat in order to ingest more glucose.
   c. The child is thirsty because his body is signaling the need to flush excess glucose
   from the body because glucose is not entering cells for metabolism. Because cells
   are in need of glucose, the body is signaling the child to eat in order to ingest more
   glucose.
   d. The child is hungry because his body is signaling the need to eat in order to ingest
   more glucose for cells.
   Answer:

✔ ROUTINE CHECKUP 2