The nurse is admitting a toddler with the diagnosis of juvenile hypothyroidism. Which is a common clinical manifestation of this disorder?

a. Insomnia
b. Diarrhea
c. Dry skin
d. Accelerated growth


ANS: C
Dry skin, mental decline, and myxedematous skin changes are associated with juvenile hypothyroidism. Children with hypothyroidism are usually sleepy. Constipation is associated with hypothyroidism. Decelerated growth is common in juvenile hypothyroidism.

Nursing

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A patient who has been prescribed acebutolol (Sectral) develops a heart rate of 48 beats/min, dizziness, difficulty breathing, and bluish fingernails. What is your best first action?

a. Instruct the patient to take several slow deep breaths. b. Place the patient in high Fowler's position. c. Hold the drug and notify the prescriber. d. Apply oxygen by mask or nasal cannula.

Nursing

When caring for a client receiving a corticosteroid as part of a chemotherapy regime, the nurse should:

a. monitor the client's potassium level. b. report a WBC level of 5,700 cells/mm3. c. teach client to monitor weekly temperatures. d. report a glucose level of 125 mg/dL.

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How can most living organisms be classified in general systems theory?

a. Open systems b. Closed systems c. Subsystems d. Macrosystems

Nursing

The heart of an NIH grant application is the research plan component, which includes a section on research strategy. What is the maximum number of pages for a training fellowship?

A) 3 B) 6 C) 9 D) 12

Nursing