Hormonal Regulation
Cellular Regulation
Nursing Care Hormonal, Glucose, Cellular
Pharmacological/ Non-Pharmacological Strategies
Glucose Regulation
100

What is the hormone produced by the pancrease that lowers blood glucose?

What is insulin?

100

What is the basic unit of life in the body?

 What is the cell?

100

What is the priority assessment for a child with suspected endocrine imbalance?

What is growth patterns (height, weight , developmental milestones)?

100

What is the medication used to treat type 1 diabetes in children?

What is insulin

100

What is the normal fasting blood glucose range for school-aged children?

What is 70-100 mg/dl

200

What is the gland responsible for regulating metabolism and growth in children?

What is the thyroid gland?

200

Define Mitosis

What is the process by which cells divide to produce identical cells?

200

What is the key nursing intervention when caring for a child with hyperglycemia?

What is monitoring for dehydration and administering insulin as prescribed?

200

What is a non-pharmacological strategy to manage mild hypoglycemia?

What is administering oral glucose (juce, glucose gel, candy)?

200

What is the condition characterized by hyperglycemia due to insulin deficiency?

What is type 1 diabetes mellitus?

300

What is the hormone that stimulates adrenal secretion during stress?

What is adrenocorticotropic Hormone ACTH?

300

What is the term for uncontrolled cell growth?

What is cancer or neoplasia

300

What is the nurse's role in preventing complications in pediatric cancer patients?

What is implementing infection  control precaustions (neutropenic precautions)?

300

What is the preferred rout for insluin administration in children

What is subcutaneous injection?

300

What is a classic sign on hypoglycemia in a pediatric patient?

What is diaphoresis shakiness, or irritability?

400

Stress hormone that raises glucose and supresses immunity

What is Cortisol?

400

What is the primary concern with rapid cellular turnover in pediatric oncology patients?

What is: Increased risk of tumor lysis syndrome (TLS) due to massive, rapid release of intracellular contents into the bloodstream.  Why is this a concern?

  • When many cells die at once (spontaneous or after chemo), they release:
    • Potassium → hyperkalemia
    • Phosphate → hyperphosphatemia
    • Nucleic acids → uric acid → hyperuricemia
  • These imbalances can lead to:
    • Acute kidney injury
    • Cardiac dysrhythmias (from hyperkalemia)
    • Seizures or neurologic changes

Teaching pearl: This is a classic “watch the labs immediately after treatment starts” scenario in pediatric oncology—rapid turnover is not just about cancer growth, but about dangerous metabolic breakdown after therapy.

400

What is the first action when a child shows signs of hypoglycemia?

Wht is checkin blood glucose immediately?

400

What is the non-pharmacological intervention to support a child with endocrine dysfunction?

What is age-appropriate nutrition and activity planning?

400

What is the priority intervention for a conscious child experiencing hypoglycemia?

What is giving 15 gms of fast-acting carbohydrate?

500

When a child’s blood glucose begins to drop during illness or missed meals, what hormones are released to help raise the blood sugar level?

What is increased glucagon and epinephrine release?

500

What is the expected lab finding in a child receiving chemotheraly that indicates bone marrow suppression?

What is decreased white blood cell (WBC) count?

500

What is the best nursing action when a child receiving growth hormone therapy complains of joint pain?

What is assessing for adverse effects and notifying the provider (possible dose adjustment)?

500

Whta it the teaching strategy that best promotes adherence in adolescents with chronic endocrine conditions?

What is involving them in self-care decision-making and simplifying the regimen?

500

What is the most important teaching point for parents of a child with type 1 diabetes during illness?

What is to continue insulin and monitor blood glucose frequently?