A child is diagnosed with hyperthyroidism. Which agent would the nurse expect the healthcare provider to prescribe?

Mineralocorticoid

Levothyroxine

Dexamethasone

Methimazole

Answer and Explanation

The Correct Answer is D

A. Mineralocorticoids (e.g., fludrocortisone) are used to treat adrenal insufficiency, not hyperthyroidism.
B. Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism, which is the opposite condition.
C. Dexamethasone is a corticosteroid used to reduce inflammation or treat adrenal insufficiency, not to manage thyroid hormone excess.
D. Methimazole is an antithyroid medication that inhibits thyroid hormone synthesis, making it the first-line treatment for hyperthyroidism in children, including Graves’ disease. Nurses should monitor for adverse effects such as rash, fever, or signs of infection, which can indicate agranulocytosis.

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Correct Answer is A

Explanation

A. Abruptio placentae is the premature separation of the placenta from the uterine wall, often associated with pregnancy-induced hypertension. Classic signs include sudden, continuous abdominal pain, uterine tenderness, and vaginal bleeding. This is a medical emergency due to the risk of maternal hemorrhage and fetal compromise.
B. Placenta previa typically presents with painless, bright red vaginal bleeding without uterine tenderness or abdominal pain.
C. Incompetent cervix generally causes painless cervical dilation in the second trimester, leading to preterm birth, not sudden pain and bleeding in the third trimester.
D. Prolapsed cord occurs when the umbilical cord descends through the cervix ahead of the presenting part, causing variable decelerations in fetal heart rate and sometimes visible cord at the vaginal opening, but it is not associated with continuous abdominal pain.

A. Confusion and anxiety B. Swelling in the neck C. Hypersalivation D. Ring-like rash on lower leg

Correct Answer is C

Explanation

A. Neurological symptoms such as confusion may occur in later stages of Lyme disease if the infection affects the central nervous system, but they are not expected in the early localized stage following a tick bite.

B. Excessive salivation is not associated with Lyme disease. This symptom is more characteristic of other conditions affecting the cranial nerves or oral cavity, such as rabies.

C. The hallmark early manifestation of Lyme disease is erythema migrans, a red, expanding, ring-shaped rash that often develops at the site of the tick bite within 3–30 days. It may appear on the lower extremities and sometimes has a central clearing, giving it a “bull’s-eye” appearance.

D. Cervical lymphadenopathy is not a common early sign of Lyme disease. Swelling may occur near the bite site, but generalized neck swelling is not typical.

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A child is diagnosed with hyperthyroidism. Which agent would the nurse expect the healthcare provider to prescribe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications?

Correct Answer is A

Explanation

The nurse is performing a physical examination on a 9-year-old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. Which assessment finding would the nurse expect to find?

Correct Answer is C

Explanation

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