Answer to Question 1
A
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A Correct. A student tells the school nurse that she is concerned about her delayed puberty and a delay in tooth eruption. The nurse will suspect and further assess for acquired hypothyroidism.
B Incorrect. Hearing a student is concerned about her delayed puberty and a delay in tooth eruption, the nurse will not suspect and further assess for hyperthyroidism.
C Incorrect. Hearing a student is concerned about her delayed puberty and a delay in tooth eruption, the nurse will not suspect and further assess for Addison's disease.
D Incorrect. Hearing a student is concerned about her delayed puberty and a delay in tooth eruption, the nurse will not suspect and further assess for Cushing's disease.
Answer to Question 2
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A Correct. Clinical manifestations of acquired hypothyroidism include decreased rate of growth, weight gain, constipation, dry skin, thinning or coarse hair, fatigue, cold intolerance, edema of face, eyes and hands, delayed deep tendon reflexes and delayed puberty and tooth eruption.
B Incorrect. Clinical manifestations of acquired hypothyroidism do not include headaches, dizziness, shakiness, disturbed vision, confusion, and frequent hunger.
C Incorrect. Clinical manifestations of acquired hypothyroidism do not include rapid respiratory rate, tachycardia, weakness, and unusual odor to breath.
D Incorrect. Clinical manifestations of acquired hypothyroidism do not include skin rash, loss of taste, mild leukopenia, and abnormal pigmentation of hair.
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