This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: Prior to discharging an infant with congenital hypothyroidism to home with the parents, what should ... (Read 178 times)

stevenposner

  • Hero Member
  • *****
  • Posts: 608
on: Jun 27, 2018
Prior to discharging an infant with congenital hypothyroidism to home with the parents, what should the nurse emphasize regarding the care that this child will need going forward?
 
  A) Vitamin K administration until school age
  B) Administration of levothyroxine indefinitely
  C) An increased intake of calcium beginning immediately
  D) Administration of vitamin C until after growth is complete

Question 2

The nurse is preparing teaching materials for a family whose child is prescribed somatropin (Humatrope) for a growth hormone deficiency. What should the nurse instruct the parents about the administration of this medication?
 
  A) This medication must be given by injection.
  B) This medication must be given in the morning before school.
  C) Hip or knee pain is an expected adverse effect of this medication.
  D) This medication does not interact with any other types of medication.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

hramirez205

  • Sr. Member
  • ****
  • Posts: 345
Reply #1 on: Jun 27, 2018
Answer to Question 1

B
Feedback:
The treatment for hypothyroidism is oral administration of synthetic thyroid hormone or sodium levothyroxine. A small dose is given at first, and then the dose is gradually increased to therapeutic levels. The child needs to continue taking the synthetic thyroid hormone indefinitely to supplement that which the thyroid does not make. Vitamin K is not needed. Supplemental vitamin D, and not calcium, may be given to prevent the development of rickets when rapid bone growth begins. Supplemental vitamin C is not indicated for this disorder.

Answer to Question 2

A
Feedback:
Somatropin (Humatrope) is administered by injection. It is best given at hour of sleep because that is when growth hormone is released. Hip or knee pain could indicate a slipped capital epiphysis and should be reported to the health care provider. The nurse should urge the parents to inform all health care providers that the child is receiving this medication to avoid medication interactions.


stevenposner

  • Member
  • Posts: 608
Reply 2 on: Jun 27, 2018
Great answer, keep it coming :)

alvinum

  • Member
  • Posts: 317
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Most women experience menopause in their 50s. However, in 1994, an Italian woman gave birth to a baby boy when she was 61 years old.

Did you know?

Vaccines prevent between 2.5 and 4 million deaths every year.

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Imitation in an Infant Imitation in an Infant
Milestones of Infant Language Development Milestones of Infant Language Development
Adult, Child, and Infant CPR Standards Adult, Child, and Infant CPR Standards
Perform Infant Rescue Breathing Perform Infant Rescue Breathing
Examples of endocrine disorders. (C) A patient with congenital hypothyroidism. Examples of endocrine disorders. (C) A patient with congenital hypothyroidism.
Cataracts seen in a child with congenital rubella syndrome. Cataracts seen in a child with congenital rubella syndrome.
Video: Cardiac conductile cells

For a complete list of videos, visit our video library