An adolescent girl with Grave's Disease is admitted to the ...

[krzymel]

An adolescent girl with Grave's Disease is admitted to the hospital. The nurse expects to find which of the following clinical manifestations?
 
  1. Weight gain, hirsutism, and muscle weakness
   2. Dehydration, metabolic acidosis, and hypotension
   3. Tachycardia, fatigue, and heat intolerance
   4. Hyperglycemia, ketonuria, and glycosuria

Question 2

During her interview with the mother, the nurse asks sleep related questions. She finds out that the infant is placed on her belly for sleep. The nurse beings to explain safe sleep measures and includes:
 
  1. Placing the infant in a side lying position after feeds
   2. Placing the infant propped on a pillow for comfort
   3. Placing the infant on her belly for only naps
   4. Placing the infant on her back in a bare naked crib

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Answer to Question 1

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1. Weight gain, hirsutism, and muscle weakness are signs of Cushing's Syndrome.
2. Dehydration, metabolic acidosis, and hypotension are signs of Congenital Adrenal Hyperplasia. Hyperglycemia, ketonuria, and glycosuria are signs of diabetes mellitus.
3. Grave's Disease occurs when thyroid hormone levels are increased, resulting in excessive levels of circulating thyroid hormones. Clinical manifestations include tachycardia, fatigue, and heat intolerance.
4. Grave's Disease does not affect circulating glucose.

Answer to Question 2

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1. AAP recommends that all infants be placed on their backs for sleep in a bare naked crib. This means just a fitted sheet, no bumpers, blankets, pillows or toys. These are all suffocation hazards. The infant should not be tightly swaddled and arms should be free. Tightly swaddled infants are at risk for overheating and at greater risk for SIDS.
2. A pillow can increase the chance for suffocation
3. The infant should only be placed on her belly when awake and supervised
4. AAP recommends that all infants be placed on their backs for sleep in a bare naked crib. This means just a fitted sheet, no bumpers, blankets, pillows or toys. These are all suffocation hazards. The infant should not be tightly swaddled and arms should be free. Tightly swaddled infants are at risk for overheating and at greater risk for SIDS.

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