Author Question: The nurse is planning care for an older adult client. Which topic will the nurse include in the ... (Read 81 times)

gbarreiro · **on:** Jun 25, 2018

The nurse is planning care for an older adult client. Which topic will the nurse include in the teaching session when discussing thyroid function?

1. Eliminating the use of alcohol.
2. Monitoring of hormone levels annually.
3. Providing information about congenital abnormalities.
4. Educating about birth control options.

Question 2

The nurse is assessing a newborn and notes an enlarged head with prominent scalp veins visible. Based on this data, which diagnosis does the nurse suspect?

1. Craniosynostosis.
2. Hydrocephalus.
3. Acromegaly.
4. Fetal alcohol syndrome.

lou · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2
Production of thyroid hormone decreases with age, and older adults, regardless of gender, should have annual thyroid screening and monitoring of thyroid hormone levels. The ingestion of alcohol is not necessarily associated with thyroid function. Education about congenital abnormalities is most appropriate to teach to a pregnant woman with risk factors associated with these types of problems. Birth control education is probably less appropriate to teach to an older adult client.

Answer to Question 2

Correct Answer: 2
Hydrocephalus is enlargement of the head caused by inadequate drainage of cerebrospinal fluid. Craniosynostosis is early closure of the sutures, which causes head elongation. Acromegaly is enlargement of the skull and cranial bones due to increased growth hormone, which would not be the cause in an infant. Acromegaly is usually found in adult clients. Fetal alcohol syndrome causes specific types of facial deformities such as a small head circumference, small widely spaced eyes, and a flat mid-facial area.