A 7-year-old child is brought to the clinic due to fatigue, slowed growth, and constipation. On examination, the child has dry skin, a puffy face, and a hoarse voice. Which of the following conditions should the nurse suspect?
Hypothyroidism
Cushing's Syndrome
Hyperthyroidism
Type 1 Diabetes Mellitus
The Correct Answer is A
A. Hypothyroidism is correct. The child’s fatigue, slowed growth, and constipation, along with physical findings such as dry skin, puffy face, and hoarse voice, are classic signs of hypothyroidism, a condition caused by insufficient thyroid hormone production. In children, untreated hypothyroidism can lead to growth retardation, developmental delays, and delayed puberty.
B. Cushing's Syndrome is incorrect because it is characterized by weight gain, truncal obesity, moon face, buffalo hump, and skin changes like striae, often with hypertension and hyperglycemia. Fatigue and constipation are less prominent, and slowed growth is not typically associated with early Cushing's.
C. Hyperthyroidism is incorrect because it usually presents with weight loss, increased appetite, tachycardia, heat intolerance, hyperactivity, and rapid growth, which are opposite to the findings in this child.
D. Type 1 Diabetes Mellitus is incorrect because it is usually presents with polyuria, polydipsia, polyphagia, and weight loss. Constipation, hoarse voice, and dry skin are not characteristic of diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1100 mg\/day"," not safe"]
Explanation
Given:
- Patient weight = 22 kg
- Ordered dose = 500 mg IV every 6 hours (4 doses/day)
- Safe dose = 50 mg/kg/day
Step 1: Calculate the maximum safe daily dose
Maximum safe dose = 50 mg/kg/day × 22 kg
50 × 22 = 1100 mg/day
Step 2: Calculate the ordered daily dose
Ordered dose = 500 mg per dose × 4 doses/day
500 × 4 = 2000 mg/day
Step 3: Compare the ordered dose with the maximum safe dose
- Maximum safe dose = 1100 mg/day
- Ordered dose = 2000 mg/day
2000 mg/day > 1100 mg/day → not safe
Correct Answer is A
Explanation
Step 1: Understand GTPAL
G = Gravida (total number of pregnancies, including current)
T = Term births (≥37 weeks)
P = Preterm births (20–36 6/7 weeks)
A = Abortions (spontaneous or elective <20 weeks)
L = Living children
Step 2: Count based on patient history
Gravida (G): Total pregnancies = 1 elective abortion + twins + spontaneous abortion = 3 completed pregnancies + current pregnancy = 4 → G = 4
Term births (T): Birth ≥37 weeks = None → T = 0
Preterm births (P): Birth 20–36 6/7 weeks = twins at 34 weeks → P = 1
Abortions (A): Spontaneous or elective <20 weeks = elective abortion at 12 weeks + spontaneous at 15 weeks → A = 2
Living children (L): Twins survived → L = 2
Step 3: Combine numbers
G = 4, T = 0, P = 1, A = 2, L = 2 → 4-0-1-2-2
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