Author Question: A 5-year-old with a history of hypopituitarism comes to the physician with complaints of right hip ... (Read 26 times)

Brittanyd9008 · **on:** Jun 28, 2018

A 5-year-old with a history of hypopituitarism comes to the physician with complaints of right hip and leg pain. The nurse understands that this symptom might be related to:

1. Daily growth hormone.
2. DDAVP (desmopressin acetate) at HS.
3. Insulin before meals and bedtime.
4. Cortisone injections.

Question 2

The nurse is assessing a 6-week-old female admitted to the hospital with fever. The nurse notes the infant has a webbed neck and lymphedema of both hands and feet. The nurse suspects that this infant might have:

1. Hypothyroidism.
2. Cushing's disease.
3. Turner's syndrome.
4. Klinefelter's syndrome.

akemokai · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1
Rationale:
1. Growth hormone injections and hypopituitarism have been associated with slipped capital femoral epiphysis, which manifests with complaints of hip or knee pain.
2. DDAVP reduces urinary output. It does not cause slipped capital femoral epiphysis.
3. Insulin is not used to treat hypopituitarism.
4. Cortisone is not used for hypopituitarism.

Answer to Question 2

3
Rationale:
1. Early signs of hypothyroidism are prolonged jaundice, bradycardia, and hypothermia, and symptoms are not seen until the first few months of life.
2. The typical symptoms of Cushing's disease are not seen until a child is 25 years old. Symptoms include moon face and fat pads over the shoulders and back, referred to a buffalo hump.
3. Turner's syndrome is characterized by a webbed neck, lymphedema, and a low hairline in the infant.
4. Klinefelter's syndrome is seen in boys.