The nurse is planning to admit a 12-year-old with Graves disease ...

[RYAN BANYAN]

The nurse is planning to admit a 12-year-old with Graves disease (GD). What clinical manifestations should the nurse expect to observe in this child? (Select all that apply.)
 
  a. Insomnia
  b. Irritability
  c. Tonic rigidity
  d. Hyperactivity
  e. Muscle cramps

Question 2

The nurse is planning to admit an 8-year-old child with hypoparathyroidism. What clinical manifestations should the nurse expect to observe in this child? (Select all that apply.)
 
  a. Muscle cramps
  b. Positive Chvostek sign
  c. Emotional lability
  d. Laryngeal spasms
  e. Short attention span

[shaikhs]

Answer to Question 1

ANS: A, B, D
Signs and symptoms of hyperthyroidism develop gradually, with an interval between onset and diagnosis of approximately 6 to 12 months. Clinical features include irritability, hyperactivity, short attention span, tremors, insomnia, and emotional lability. Tonic rigidity and muscle cramps are signs of hypoparathyroidism.

Answer to Question 2

ANS: A, B, D
Clinical manifestations of hypoparathyroidism include muscle cramps, positive Chvostek sign, and laryngeal spasms. Emotional lability and short attention span are signs of Graves disease.