When caring for a 7-week-old infant with hypothyroidism, the nurse explains that the administration of oral thyroid replacement therapy is critical for this child to prevent:
a. excessive growth.
b. cognitive impairment.
c. damage to the nervous system.
d. damage to the urinary system.
B
The treatment of choice for congenital and acquired hypothyroidism is oral thyroid hormone replacement therapy. Prompt treatment is especially critical in the infant with congenital hypothyroidism to avoid permanent cognitive impairment.
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A 9-year-old boy has been diagnosed with the nephrotic syndrome. Place the following stages in the development of his health problem in ascending order. Use all the options
A) Hypoalbuminemia B) Increased glomerular membrane permeability C) Decreased colloidal osmotic pressure D) Proteins escape from the plasma to the glomerular filtrate E) Accumulation of fluid in the interstitial tissue (edema)
The 36-year-old client who has a suspicious mammogram says that her mother died of bone cancer when she was 40 years old. Which is the most important question for the nurse to ask this client next?
A. "Have any other members of your family had bone cancer?" B. "Did your mother ever have any other type of cancer?" C. "How old were you when you started your periods?" D. "Did your mother have regular mammograms?"
The nurse provides discharge instructions to a patient who was hospitalized for pneumonia. Which statement, if made by the patient, indicates a good understanding of the instructions?
a. "I will call the doctor if I still feel tired after a week." b. "I will continue to do the deep breathing and coughing exercises at home." c. "I will schedule two appointments for the pneumonia and influenza vaccines." d. "I'll cancel my chest x-ray appointment if I'm feeling better in a couple weeks."
The nurse is preparing to give sublingual nitroglycerin to a patient complaining of chest pain. The nurse instructs the patient not to swallow the medication. Why is this instruction important?
a. The effects of the medication will be nullified if swallowed. b. Sublingual drugs begin to dissolve when placed on the tongue. c. The medication needs to be held against the cheek membranes until dissolved. d. The patient may aspirate on the water used for these medications.