Author Question: A primary care NP orders thyroid function tests. The patient's TSH is 1.2 microunits/mL, and T4 is ... (Read 38 times)

Jramos095 · **on:** Jul 24, 2018

A primary care NP orders thyroid function tests. The patient's TSH is 1.2 microunits/mL, and T4 is 1.7 ng/mL. The NP should:

a. assess the patient for symptoms of hyperthyroidism.
b. ask the patient about the use of medications such as lithium.
c. tell the patient that the results most likely indicate hypothyroidism.
d. ask an endocrinologist to evaluate for possible Hashimoto's thyroiditis.

Question 2

A 2-year-old child has chronic toddler's diarrhea, which has an unknown but benign etiology. The child's parent asks the primary care NP if a medication can be used to treat the child's symptoms. The NP should recommend giving:

a. diphenoxylate (Lomotil).
b. attapulgite (Kaopectate).
c. an electrolyte solution (Pedialyte).
d. bismuth subsalicylate (Pepto-Bismol).

CAPTAINAMERICA · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
Primary hypothyroidism is the most common form of hypothyroidism. Use of certain drugs, such as lithium, and diseases such as Hashimoto's thyroiditis can cause hypothyroidism but are less likely. The patient does not have signs of hyperthyroidism.

Answer to Question 2

C
Antidiarrheals are not recommended in children. Opioids are contraindicated in children younger than 2 years. Bismuth and attapulgite are not recommended in children younger than 3 years of age. Oral rehydration with electrolyte solution is safe for young children.