Author Question: The nurse in the pediatric clinic measures a 9-year-old child's height and finds that the child has ... (Read 99 times)

londonang · **on:** Jun 27, 2018

The nurse in the pediatric clinic measures a 9-year-old child's height and finds that the child has grown 4 inches in 1 year.

The nurse will discuss this increase in height with the caregivers, keeping in mind that an increase of 4 inches in 1 year, when compared to the usual increase for a school-aged child, is: a. just below average c. slightly above average
b. average d. double the average

Question 2

A teenaged girl has noticeable exophthalmia of the right eyeball and proptosis of the left eye. The nurse will suspect and further assess for:

a. hypothyroidism c. growth hormone deficiency
b. congenital adrenal hyperplasia d. hyperthyroidism

rnehls · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D

Feedback
A Incorrect: This option underestimates the increase experienced for this child.
B Incorrect: This option underestimates the increase experienced for this child.
C Incorrect: This option underestimates the increase experienced for this child.
D Correct: The average child's height increases by 2 inches per year. Therefore, an increase of 4 inches in 1 year is twice the average increase.

Answer to Question 2

D

Feedback
A Incorrect. Ophthalmic changes are not associated with hypothyroidism.
B Incorrect. Ophthalmic changes are not associated with congenital adrenal hyperplasia.
C Incorrect. Ophthalmic changes are not associated with growth hormone deficiency.
D Correct. Ophthalmic changes with hyperthyroidism include exophthalmos (bulging of the eyeballs), proptosis (downward displacement of the eyeball), lid lag, lid retraction, staring expression, periorbital edema (swelling around the eyeball), and diplopia (double vision).