The nurse should instruct the parents of a client with cretinism ...

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The nurse should instruct the parents of a client with cretinism that the duration of thyroid replacement is expected to be:
 
  1. 3 years.
  2. The first year of life.
  3. Until puberty.
  4. Until symptoms disappear.

Question 2

The nurse would anticipate the client with hyperthyroidism to exhibit which symptom?
 
  1. Hypothermia
  2. Bradycardia
  3. Weight gain
  4. Hypertension

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Answer to Question 1

Correct Answer: 1
Rationale 1: Children with cretinism should be treated for 3 years and reevaluated.
Rationale 2: Children with cretinism are not treated for the first year of life.
Rationale 3: Children with cretinism are not treated until puberty.
Rationale 4: Children with cretinism are not treated until symptoms disappear.
Global Rationale: The typical course of therapy for children with cretinism is thyroid replacement for 3 years, at which point the continuation of therapy is evaluated. The remaining schedules are not used to treat cretininsm.

Answer to Question 2

Correct Answer: 4
Rationale 1: Hypothermia is not a symptom of hyperthyroidism.
Rationale 2: Bradycardia is not a symptom of hypothyroidism.
Rationale 3: Weight gain is not a symptom of hypothyroidism.
Rationale 4: The client with hyperthyroidism experiences an increase in metabolic rate and possibly hypertension.
Global Rationale: The client with hyperthyroidism experiences an increase in metabolic rate and possibly hypertension. The remaining findings reflect a slowing of metabolism, possibly due to hypothyroidism.

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Both answers were spot on, thank you once again

[perkiness]

Great! Please up vote