The nurse is obtaining a health history from parents whose 4-month-old boy has congenital hypothyroidism. Which of the following findings would be most likely?
A) The child shows above-normal growth for his age.
B) The child is active and playful.
C) The skin is pink and healthy-looking.
D) It is difficult to keep the child awake.
D
Response:
The parents may state during the health history that it is difficult keeping the child awake. Physical examination would reveal that the child is below normal weight and height, that his skin is pale and mottled, and that he is lethargic and irritable.
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While in the pediatrician's office for their child's 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child
Based on the child's developmental level, the nurse should suggest which types of toys? Select all that apply. 1. Soft toys that can be manipulated and mouthed 2. Toys that can pop apart and go back together 3. Jack-in-the-box toys 4. Toys with black-and-white patterns 5. Push-and-pull toys
The nurse encourages a Puerto Rican family to bring food to a child because he is not eating the food served on his hospital tray. What can the nurse expect the child to eat?
a. Dried beans mixed with rice b. Crisp vegetables c. Spaghetti and meatballs d. Wild berries, roots, and seeds
An older patient has a Braden Scale pressure ulcer risk score of 18. What does this score mean to the nurse?
1. The patient is at a low risk for the development of a pressure ulcer. 2. This patient is at a high risk for the development of a pressure ulcer. 3. The score is inconclusive and the assessment repeated within 3 days. 4. This score is inconclusive and shows no significant risk pressure ulcer development.
One of the staff nurses on your unit makes the comment, "All this time I thought Mary was black. She says she is Jamaican." The best response would be to say:
a. "Who cares what she is?" b. "What did you think when you learned she was Jamaican?" c. "Why did you assume she was black?" d. "We have never had a Jamaican on this unit."