Author Question: The home health nurse is visiting a 3-month-old who has been diagnosed with congenital ... (Read 113 times)

Redwolflake15 · **on:** Jul 22, 2018

The home health nurse is visiting a 3-month-old who has been diagnosed with congenital hypothyroidism and is taking daily thyroxine. The baby is on soy formula, and is at the 50th percentile for height and weight.

Which of the following is the nurse planning to teach the mother? 1. Dairy-based formula is contraindicated when an infant is taking thyroxine.
2. Soy-based formula can interfere with the absorption of thyroxine.
3. As long as the baby is growing along the same growth curve, no interventions are necessary.
4. Parents may stop the thyroxine as long as the baby remains in the 50th percentile for height and weight.

Question 2

A 51-year-old client reports to the nurse an inability to tolerate usual exercise and the feeling of fatigue. The client states that these symptoms have been gradual over time.

On physical exam, the nurse discovers that the client has splenomegaly, pallor, edema, and lymphadenopathy. The nurse suspects that the client may have which of the following? 1. Acute lymphoblastic leukemia (ALL)
2. Aplastic anemia
3. Acute myeloid leukemia (AML)
4. Chronic lymphocytic leukemia (CML)

frejo · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Soy-based formula can interfere with the absorption of thyroxine.

Rationale:
Soy-based formula can interfere with the absorption of thyroxine. Dairy-based formula does not interfere with thyroxine. Frequent checks must be done to assess the baby for inadequate growth. To ensure adequate growth and development, the hormone must be taken throughout life.

Answer to Question 2

4. Chronic lymphocytic leukemia (CML)

Rationale:
The symptoms for CML are insidious and occur over time affecting older adults. ALL affects primarily children. AML also occurs in older clients but they will also manifest bone and joint pain with abnormal bleeding. Aplastic anemia is usually caused by a toxic agent.