A three-year-old child was born with congenital adrenal ...

[gonzo233]

A three-year-old child was born with congenital adrenal insufficiency and is being treated with oral hydrocortisone. When the child develops pneumonia and is admitted to the hospital, the nurse would expect the dose of hydrocortisone to be:
 
  1. Stopped.
  2. Reduced by 50.
  3. Continued as previously prescribed.
  4. Increased.

Question 2

Based on physical findings, including a webbed neck and low hairline, the newborn female infant is suspected of having Turner's syndrome.
 
  The baby is in the newborn nursery while preparations are made for further evaluation including karyotyping. The nurse will want to monitor this baby for common associated conditions including: 1. Club foot (talipes equinovarus).
  2. Congenital heart anomalies.
  3. Hyperbilirubinemia due to liver abnormalities.
  4. Diaphragmatic hernia.

[Ahnyah]

Answer to Question 1

4
Rationale 1: Hydrocortisone is the glucocorticoid that helps the body deal with stress. It would be inappropriate to stop the medication.
Rationale 2: The drug dosage would not be decreased.
Rationale 3: During periods of stress, the child will need additional corticosteroids.
Rationale 4: During periods of stress including illness and surgery, the dose of steroids needs to be increased.
Global

Answer to Question 2

2
Rationale 1: Club foot is not associated with Turner's syndrome.
Rationale 2: Congenital heart anomalies, including coarctation of the aorta, frequently are associated with Turner's syndrome.
Rationale 3: The girl with Turner's syndrome has the normal risk for hyperbilirubinemia. It is not associated with Turner's syndrome.
Rationale 4: Diaphragmatic hernias are not associated with Turner's syndrome.
Global

[gonzo233]

Gracias!

[dyrone]

Excellent