The home health nurse is visiting a 3-month-old who has been diagnosed with congenital hypothyroidism and is taking daily thyroxine. The baby is on soy formula, and is at the 50th percentile for height and weight
Which of the following is the nurse planning to teach the mother? 1. Dairy-based formula is contraindicated when an infant is taking thyroxine.
2. Soy-based formula can interfere with the absorption of thyroxine.
3. As long as the baby is growing along the same growth curve, no interventions are necessary.
4. Parents may stop the thyroxine as long as the baby remains in the 50th percentile for height and weight.
2. Soy-based formula can interfere with the absorption of thyroxine.
Rationale:
Soy-based formula can interfere with the absorption of thyroxine. Dairy-based formula does not interfere with thyroxine. Frequent checks must be done to assess the baby for inadequate growth. To ensure adequate growth and development, the hormone must be taken throughout life.
You might also like to view...
Your client had surgery 3 days ago. She has no audible bowel sounds, and the physician states that there is no peristalsis. You know that this situation indicates:
1. gastrocolitis. 2. paralytic ileus. 3. bowel obstruction. 4. ulcerative colitis.
The nurse is providing meperidine (Demerol) to a patient who reports postsurgical pain 8/10. The order is for 50 mg to be orally administered to the patient in tablet form every 4 hours, but each tablet contains 100 mg. The best action by the nurse is to
1. Call the doctor to request that the order be changed to 100 mg every 8 hours. 2. Administer half of the tablet to the patient and then discard the other half by flushing it down the toilet. 3. Administer half the tablet to the patient and dispose of the other half in a chemical waste container with another licensed nurse as a witness, recording the narcotic drug wastage on the narcotic record and having the witness cosign. 4. Administer half the tablet to the patient and save the other half for the next dose.
The caregiver of a child diagnosed with celiac disease tells the nurse that the child has large amounts of bulky stools and what looks like fat in the stools. The clinical manifestation this caregiver is describing is:
What will be an ideal response?
The nurse is reinforcing teaching for a patient who has a peptic ulcer. Which of the following statements by the patient would indicate a correct understanding of function of hydrochloric acid in gastric juice?
a. Digestion of starch b. Inactivation of pepsin c. Destruction of pathogens d. Maintenance of a pH of 7 to 8