A parent calls the clinic nurse to report that his child, who ...

[MGLQZ]

A parent calls the clinic nurse to report that his child, who takes methimazole (MTZ), is running a high fever, seems agitated, and is nauseated. Which response by the nurse is the most appropriate?
 
  A.
  Bring your child to the clinic this afternoon for a checkup.
  B.
  Double the methimazole dose for 2 days or until the fever is gone.
  C.
  Give your child acetaminophen (Tylenol) every 4 hours for the fever.
  D.
  Take your child to the nearest emergency department right away.

Question 2

A nursing student asks why the child with hypothyroidism would have high levels of thyroid-stimulating hormone (TSH). Which response by the faculty is the most appropriate?
 
  A.
  Stimulating-hormone functions are not disrupted by thyroid disorders.
  B.
  The pituitary gland keeps secreting TSH to try to make the thyroid function.
  C.
  TSH exists in an inverse relationship with the other thyroid hormones.
  D.
  Thyroid hormone function is very poorly understood and the reason is not clear.

[mtmmmmmk]

Answer to Question 1

ANS: D
Methimazole is used to treat hyperthyroidism. With fever, nausea and vomiting, and agitation, the child is demonstrating manifestations of thyroid storm, which is a medical emergency. The parent should take the child to the emergency department.

Answer to Question 2

ANS: B
Because the levels of thyroid hormone are low, the anterior pituitary gland keeps secreting more and more TSH to try to force the thyroid into producing its hormones. This also clues the provider that the problem is in the thyroid gland itself, not in the brain regulating system. The other answers are not accurate.

[MGLQZ]

Thank you

[mtmmmmmk]

No problemo