A child is diagnosed with hyperthyroidism. Which agent would the nurse expect the healthcare provider to prescribe?
Mineralocorticoid
Levothyroxine
Dexamethasone
Methimazole
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1: Convert the ordered dose to mg
0.2 g × 1000 = 200 mg
Step 2: Determine the number of capsules
Number of capsules = Desired dose ÷ Strength per capsule
Number of capsules = 200 ÷ 100 = 2
Final Answer: 2 capsules
Correct Answer is ["0504"]
Explanation
Step 1: Start with the first day of the last menstrual period (LMP)
LMP = July 27 (0727)
Step 2: Add 1 year
Year remains the same conceptually; for MMDD format we only focus on month and day
Step 3: Subtract 3 months from the month
July → April (07 − 3 = 04)
Step 4: Add 7 days to the day
27 + 7 = 34 → Since April has 30 days, 34 − 30 = 4 → move to next month, May
Step 5: Adjust month
April + 1 month = May (05)
Step 6: Final EDB
EDB = May 4 → 0504
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