Which of the following information is true regarding the assessment of the thyroid or thyroid function in an infant or child?
1. To accurately assess thyroid function, the nurse should assess the child's growth and development in comparison to others in the child's age group.
2. The thyroid gland is easily palpable in an infant.
3. Assess the child for abnormal hair growth because this may indicate thyroid dysfunction.
4. Assess the child for melasma because this will indicate thyroid dysfunction.
1
Rationale 1: The best way to assess thyroid function in an infant or child is to assess his growth and development in comparison to other people in his age group
Rationale 2: The thyroid gland is difficult to palpate in an infant.
Rationale 3: Long facial hair is usually seen in older women who are making less reproductive hormones.
Rationale 4: Melasma is found in pregnant women. Melasma occurs when the pregnant female develops large, blotchy, pigmented areas on her face.
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For an elderly client who is experiencing chronic nausea and weight loss, which laboratory result would the nurse recognize as being most consistent with a diagnosis of Imbalanced Nutrition: Less Than Body Requirements?
a. Serum glucose of 78 mg/dL b. Serum albumin of 3.2 g/dL c. Creatinine of 1.0 mg/dL d. Potassium of 4.1 g/dL
In the process of planning a patient's care, the nurse has identified a nursing diagnosis of Ineffective Health Maintenance related to alcohol use. What must precede the determination of this nursing diagnosis?
A) Establishment of a plan to address the underlying problem B) Assigning a positive value to each consequence of the diagnosis C) Collecting and analyzing data that corroborates the diagnosis D) Evaluating the patient's chances of recovery
The nurse should always be careful to avoid overextending or overflexing an infant's neck because
A) a vagal response may be stimulated. B) airways are easily collapsible. C) the immature bones may fracture easily. D) the movement may affect perfusion.
The associate nurse manager is giving directions to the staff regarding a Joint Commission initiative. Some of the assignments seem to be the same. The staff are complaining among themselves about the confusion. How should the staff handle the situation?
A. Follow the directions even if there is duplication. B. Make an appointment with the nurse manager to discuss the associate nurse manager's behavior. C. Review the directions and identify the areas of duplication. D. Choose a representative to discuss the issue with the associate nurse manager.