A mother reports that her 4-month-old infant is lethargic, sleeps 18 hours a day, and snores. The nurse recognizes these signs are characteristic of what?

Hyperthyroidism

Tay-Sachs disease

Type 1 Diabetes Mellitus

Hypothyroidism

Answer and Explanation

The Correct Answer is D

A. Hyperthyroidism: Hyperthyroidism is characterized by weight loss, insomnia, increased heart rate, irritability, and tremors, which are the opposite of the signs described in this case. Lethargy and excessive sleep are more typical of hypothyroidism, not hyperthyroidism.

B. Tay-Sachs disease: Tay-Sachs disease is a genetic disorder that affects the nervous system, leading to developmental regression and symptoms like muscle weakness, loss of motor skills, and seizures. It does not typically present with lethargy and excessive sleep.

C. Type 1 Diabetes Mellitus: Type 1 diabetes typically presents with symptoms such as polyuria, polydipsia, weight loss, and fatigue. While fatigue is common in type 1 diabetes, lethargy and excessive sleep, especially in a 4-month-old, are not indicative of it.

D. Hypothyroidism: Hypothyroidism in infants can cause symptoms like lethargy, excessive sleep, snoring, poor feeding, and weight gain. It is a common condition in infants and can result in delayed development if left untreated.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. “I will report any sore throat or fever to my healthcare provider right away.": Sore throat and fever can be signs of agranulocytosis, a rare but serious side effect of methimazole. It is important for the patient to immediately report these symptoms to their healthcare provider.

B. "I can stop taking the medication once I feel better.": Methimazole is used to treat hyperthyroidism and must be taken for the long term as prescribed. Stopping the medication without consulting the healthcare provider could lead to relapse or worsening of the condition.

C. “I understand that I may need regular blood tests while taking this medication.": Methimazole can affect blood cell counts and liver function, so regular blood tests are necessary to monitor for potential side effects and to ensure the medication is effective.

D. "I will take the medication at the same time each day.": It is important for the patient to take methimazole consistently at the same time every day to maintain stable levels of the medication in the body and help manage hyperthyroidism effectively.

A. Check for Asterixis B. Place the client in a side-lying position C. Check for bleeding at the back of the client's neck D. Ensure that acetylcysteine IV is readily available

Correct Answer is C

Explanation

A. Check for Asterixis: Asterixis, also known as flapping tremor, is typically associated with hepatic encephalopathy or liver failure, not thyroidectomy. Therefore, it is not an immediate concern for a client following a subtotal thyroidectomy.

B. Place the client in a side-lying position: There is no specific need to place the patient in a side-lying position post-thyroidectomy. The semi-Fowler's position is more commonly used to promote breathing and reduce pressure on the neck.

C. Check for bleeding at the back of the client's neck: Bleeding at the back of the neck or around the incision site is a critical concern after a thyroidectomy, as it can lead to airway obstruction or hematoma formation. The nurse should frequently assess the surgical site for signs of bleeding and hematoma formation.

D. Ensure that acetylcysteine IV is readily available: Acetylcysteine (Mucomyst) is typically used for acetaminophen toxicity or to treat mucous secretions, not for complications related to thyroidectomy.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A mother reports that her 4-month-old infant is lethargic, sleeps 18 hours a day, and snores. The nurse recognizes these signs are characteristic of what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge teaching to a client newly prescribed methimazole for hyperthyroidism. Which statement by the client indicates a need for further teaching?

Correct Answer is B

Explanation

A nurse is assisting with the plan of care for a client who is 4 hr postoperative from a subtotal thyroidectomy. Which of the following implementations should the nurse recommend?

Correct Answer is C

Explanation

The nurse is providing an in-service on thyroid disorders. One of the attendees asks the nurse. "Why don't the people in the United States get goiters as often? Which statement by the nurse is the best response?

A client diagnosed with hyperthyroidism will be taking propylthiouracil (PTU). The nurse provides medication instructions and determines that the client understands the information if the client states that it is most important to report which of the following symptoms to the physician?

A nurse is reinforcing teaching with a client who is scheduled for a blood test to measure her thyroid-stimulating hormone (TSH) level. Which of the following statements should the nurse give?

The patient comes to the emergency room with dry hot skin, fruity breath, and deep respirations and is complaining of abdominal pain. The nurse interprets these signs and symptoms as:

The nurse is discussing insulin administration with an assigned patient. The patient reports that she prefers to use only certain sites for insulin injections. The patient questions why rotation of the sites is important. What response by the nurse is most appropriate?

When assisting with the development of a care plan for a client with hyperthyroidism, the nurse would anticipate which treatment?

Total your intake in ml. From 0700-1900 your patient consumed 8 oz orange juice, 10 cc flush, 8 oz coffee w/ 1 oz of cream, 12 oz soda, 4 oz chicken broth, 6 oz soda. 8 oz ice chips, 100 cc/hr IV infusion.

When a patient who is 8 hours postoperative from a total thyroidectomy shows a positive Chvostek's sign and complains of muscle cramps, the nurse interprets these assessments as indicative of: