Author Question: The nurse is admitting a toddler with the diagnosis of juvenile hypothyroidism. Which is a common ... (Read 39 times)

karlynnae · **on:** Jun 28, 2018

The nurse is admitting a toddler with the diagnosis of juvenile hypothyroidism. Which is a common clinical manifestation of this disorder?

a. Insomnia
b. Diarrhea
c. Dry skin
d. Accelerated growth

Question 2

The nurse is teaching the parents of a child who is receiving methimazole (Tapazole) for the treatment of hyperthyroidism (Graves disease). Which statement made by the parent indicates a correct understanding of the teaching?

a. I would expect my child to gain weight while taking this medication.
b. I would expect my child to experience episodes of ear pain while taking this medication.
c. If my child develops a sore throat and fever, I should contact the physician immediately.
d. If my child develops the stomach flu, my child will need to be hospitalized.

fatboyy09 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Dry skin, mental decline, and myxedematous skin changes are associated with juvenile hypothyroidism. Children with hypothyroidism are usually sleepy. Constipation is associated with hypothyroidism. Decelerated growth is common in juvenile hypothyroidism.

Answer to Question 2

ANS: C
Children being treated with Tapazole must be carefully monitored for the side effects of the medication. Parents must be alerted that sore throat and fever accompany the grave complication of leukopenia. These symptoms should be immediately reported. Weight gain, episodes of ear pain, and concern for hospitalization with the stomach flu are not concerns related to taking Tapazole.