Author Question: A child has hyperthyroidism and is prescribed propranlol (Inderal). The mother states Why is she ... (Read 107 times)

AEWBW · **on:** Jun 28, 2018

A child has hyperthyroidism and is prescribed propranlol (Inderal). The mother states Why is she taking this? I take Inderal for my blood pressure. Which response by the nurse is the most appropriate?

A.
Decreases the effects of the hyperthyroidism
B.
Keeps the child's blood pressure normal
C.
Prevents the development of thyroid storm
D.
Because thyroid problems often cause hypertension

Question 2

A nurse is caring for a 45-kg (99-lb) child undergoing a water deprivation test. At a routine assessment during the test, the nurse notes the child's weight at 42 kg. Which action by the nurse takes priority?

A.
Allows the child to have clear liquids, like broth
B.
Documents the findings and continues to monitor
C.
Increases the rate of the IV fluid infusion by 5
D.
Notifies the health-care provider immediately

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

Answer to Question 1

ANS: A
Propranolol is used to decrease the effects of the child's hyperthyroidism. It is not used for blood pressure control or to prevent thyroid storm.

Answer to Question 2

ANS: D
During a water deprivation test, the child's weight is not allowed to decrease by more than 2-5. This child's weight has dropped by more than 5, so the health-care provider must be notified immediately and the test stopped. Broth contains high levels of sodium, which is already high in the dehydrated child. The child's IV fluid rate may need to be increased, but not without the provider's order. Documenting the findings is important, but does not take priority over notifying the provider.