The nurse is teaching parents of an infant diagnosed with ...

[iveyjurea]

The nurse is teaching parents of an infant diagnosed with hypothyroidism. Which items are appropriate to include in the teaching plan? (Select all that apply.)
 
  A.
  Dissolving the levothyroxine (Synthroid) completely in formula
  B.
  Frequent monitoring of the child's height and weight
  C.
  Keeping a log or diary of developmental milestones the child meets
  D.
  Monitoring the child for behavioral changes as he or she grows
  E.
  The need for frequent laboratory testing during the child's life

Question 2

A child is taking methimazole (MTZ). What does the nurse teach parents to report immediately? (Select all that apply.)
 
  A.
  Brittle hair
  B.
  Dry skin
  C.
  Headache
  D.
  Jaundice
  E.
  Pink or red urine

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Answer to Question 1

ANS: B, C, D, E
The parents of an infant diagnosed with hypothyroidism need to maintain logs of the child's height, weight, and developmental milestones to help ensure his or her growth and development stays within normal ranges. The child will need frequent blood tests, and the parents can also monitor for behavioral changes that might indicate a need to increase the medication as the child grows. For an infant, the medication is crushed and dissolved in a small amount of liquid and administered via a syringe. It is not added to a bottle of formula.

Answer to Question 2

ANS: D, E
Methimazole has some side effects that can be serious. Jaundice can signal hepatic failure and pink/red urine can be a manifestation of glomerulonephritis, and so both should be reported without delay. The other manifestations are not due to side effects of this drug.

[iveyjurea]

Excellent

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