The nurse is caring for a school-age child with hyperthyroidism ...

[lidoalex]

The nurse is caring for a school-age child with hyperthyroidism (Graves' disease). Which clinical manifestations should the nurse monitor that may indicate a thyroid storm (Select all that apply)?
 
  a. Constipation
  b. Hypotension
  c. Hyperthermia
  d. Tachycardia
  e. Vomiting

Question 2

Which children admitted to the pediatric unit would the nurse monitor closely for development of syndrome of inappropriate antidiuretic hormone (SIADH) (Select all that apply)?
 
  a. A newly diagnosed preschooler with type 1 diabetes
  b. A school-age child returning from surgery for removal of a brain tumor
  c. An infant with suspected meningitis
  d. An adolescent with blunt abdominal trauma following a car accident
  e. A school-age child with head trauma

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Answer to Question 1

ANS: C, D, E
A child with a thyroid storm will have severe irritability and restlessness, vomiting, diarrhea, hyperthermia, hypertension, severe tachycardia, and prostration.

Answer to Question 2

ANS: B, C, E
Childhood SIADH usually is caused by disorders affecting the central nervous system, such as infections (meningitis), head trauma, and brain tumors. Type 1 diabetes and blunt abdominal trauma are not likely to cause SIADH.