The nurse is assessing an 8-year-old child whose growth rate ...

[kfurse]

The nurse is assessing an 8-year-old child whose growth rate measures below the third percentile for a child his age. He appears significantly younger than his stated age and is chubby with infantile facial features. Which condition does this child have?
 
  a. Hypopituitary dwarfism
  b. Achondroplastic dwarfism
  c. Marfan syndrome
  d. Acromegaly

Question 2

While measuring a patient's blood pressure, the nurse uses the proper technique to obtain an accurate reading. Which of these situations will result in a falsely high blood pressure reading? Select all that apply.
 
  a. The person supports his or her own arm during the blood pressure reading.
  b. The blood pressure cuff is too narrow for the extremity.
  c. The arm is held above level of the heart.
  d. The cuff is loosely wrapped around the arm.
  e. The person is sitting with his or her legs crossed.
  f.
  The nurse does not inflate the cuff high enough.

[jordangronback]

Answer to Question 1

ANS: A
Hypopituitary dwarfism is caused by a deficiency in growth hormone in childhood and results in a retardation of growth below the third percentile, delayed puberty, and other problems. The child's appearance fits this description. Achondroplastic dwarfism is a genetic disorder resulting in characteristic deformities; Marfan syndrome is an inherited connective tissue disorder characterized by a tall, thin stature and other features. Acromegaly is the result of excessive secretion of growth hormone in adulthood.

Answer to Question 2

ANS: A, B, D, E
Several factors can result in blood pressure readings that are too high or too low. Having the patient's arm held above the level of the heart is one part of the correct technique.

[kfurse]

TYSM

[apple]

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