The nurse is planning to admit a 12-year-old with Graves disease (GD). What clinical manifestations should the nurse expect to observe in this child? (Select all that apply.)
a. Insomnia
b. Irritability
c. Tonic rigidity
d. Hyperactivity
e. Muscle cramps
ANS: A, B, D
Signs and symptoms of hyperthyroidism develop gradually, with an interval between onset and diagnosis of approximately 6 to 12 months. Clinical features include irritability, hyperactivity, short attention span, tremors, insomnia, and emotional lability. Tonic rigidity and muscle cramps are signs of hypoparathyroidism.
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As a concerned citizen and professional, a nurse encourages the local senators and representatives to support expansion of health clinics for the poverty stricken. Which of the following locations is in most desperate need?
a. Rural areas where migrant and seasonal farmworkers (MSFW) labor b. Inner city poverty-stricken neighborhoods c. Near elderly low-income housing units d. Inside high schools in poverty-stricken neighborhoods
In the United States today:
a. More than 20% of pregnancies meet the definition of high risk to either the mother or the infant. b. Other than biophysical criteria, the greatest socioeconomic risk factor in high risk pregnancies is the inability to access prenatal care. c. High risk pregnancy status extends from first confirmation of pregnancy to birth. d. High risk pregnancy is a less critical medical concern because of the reduction in family size and the decrease in unwanted pregnancies.
A client has been taking oral antibiotic therapy for 3 days when she develops diarrhea. The most likely cause of the diarrhea is:
1. disruption of normal flora. 2. idiopathic causes. 3. hospital-acquired infection. 4. fluid volume excess.
Some patients will admit to having pain only if asked directly
Indicate whether the statement is true or false