A 1-year-old child with cretinism has been receiving 8 mcg/kg/day of levothyroxine [Synthroid]. The child comes to the clinic for a well-child checkup. The nurse will expect the provider to:
a. change the dose of levothyroxine to 6 mcg/kg/day.
b. discontinue the drug if the child's physical and mental development are normal.
c. increase the dose to accommodate the child's increased growth.
d. stop the drug for 4 weeks and check the child's TSH level.
A
In the treatment of cretinism, thyroid dosing decreases with age. For infants 6 to 12 months of age, the dose is 6 mcg/kg/day. At 1 year of age, the dose is reduced to 5 to 6 mcg/kg/day. For all children, treatment should continue for 3 years. It is incorrect to increase the dose with age. After 3 years of therapy, the patient undergoes a trial of 4 weeks without the drug, followed by as-sessment of the TSH and T4 levels, to determine whether the drug may be discontinued.
You might also like to view...
A nurse is ordered to administer lansoprazole to a client on a mechanical soft diet. How should the nurse administer this medication?
1. Sprinkle granules into applesauce, then administer. 2. Crush the tablet and stir it into pudding, then administer. 3. Ask the client to chew the medication. 4. First ask the client to drink an entire glass of water, then give the medication.
The nurse is administering the first dose of irinotecan (Camptosar) to a patient on the oncology unit. Shortly after the infusion is complete, the patient begins to complain of severe diarrhea
The nurse understands that the diarrhea is caused by a. excessive cholinergic stimulation of the gastrointestinal tract. b. stimulation of H2 receptors. c. excessive water being drawn into the gastrointestinal tract. d. bowel obstruction.
The charge nurse is reviewing the healthcare plans written by the unit's staff nurses. Which NANDA nursing diagnosis is most likely to be construed as culturally biased and possibly offensive?
1. Fear related to separation from support system during hospitalization 2. Spiritual Distress related to discrepancy between beliefs and prescribed treatment 3. Interrupted Family Processes related to a shift in family roles secondary to demands of illness 4. Noncompliance related to impaired verbal communication secondary to recent immigration from non–English-speaking area
The medical term for dizziness is
A. tinnitus. B. diplopia. C. presbycusis. D. vertigo.