The nurse should instruct the parents of a client with cretinism that the duration of thyroid replacement is expected to be:
1. 3 years.
2. The first year of life.
3. Until puberty.
4. Until symptoms disappear.
Correct Answer: 1
Rationale 1: Children with cretinism should be treated for 3 years and reevaluated.
Rationale 2: Children with cretinism are not treated for the first year of life.
Rationale 3: Children with cretinism are not treated until puberty.
Rationale 4: Children with cretinism are not treated until symptoms disappear.
Global Rationale: The typical course of therapy for children with cretinism is thyroid replacement for 3 years, at which point the continuation of therapy is evaluated. The remaining schedules are not used to treat cretininsm.
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