In a newborn with congenital adrenal hyperplasia, the nurse knows ...

[Beheh]

In a newborn with congenital adrenal hyperplasia, the nurse knows that a sign of acute adrenal insufficiency is:
 
  1. Hypocalcemia.
   2. Hypercalcemia.
   3. Hyponatremia.
   4. Hypernatremia.

Question 2

The nurse is caring for a child with hyperthyroidism. This child is on thiomide therapy, and is taking propranolol (Inderal) as adjunct therapy. The nurse knows that this child is taking the propranolol to relieve symptoms of:
 
  1. Insomnia.
   2. Tachycardia.
   3. Emotional liability.
   4. Muscle weakness.

[elizabethrperez]

Answer to Question 1

3
Rationale:
1. Hypocalcemia is not seen with adrenal insufficiency.
2. Hypercalcemia is not seen with adrenal insufficiency.
3. Hypernatremia is not seen with adrenal insufficiency.
4. Hyponatremia is seen in adrenal insufficiency.

Answer to Question 2

2
Rationale:
1. Propranolol is a beta-blocker. It does not affect insomnia.
2. Propranolol is used to relieve symptoms of tachycardia, tremors, lid lag, and excessive sweating.
3. Propranolol does not treat emotional liability.
4. Muscle weakness is not treated with propranolol.