A nurse is caring for a school-age client who was prescribed thyroid hormone replacement therapy for hypothyroidism. The nurse should educate the caregivers about the importance of the medication in preventing which priority complication?
Delayed bone growth
Hypoglycemia
Precocious puberty
Cognitive impairment
The Correct Answer is D
A. Delayed bone growth: Hypothyroidism can affect linear growth in school-age children, but the most urgent concern is cognitive development, as thyroid hormone is critical for brain maturation and neurological function.
B. Hypoglycemia: Hypoglycemia is not a direct complication of hypothyroidism. Thyroid hormone primarily affects metabolism, growth, and neurological development rather than blood glucose regulation.
C. Precocious puberty: Hypothyroidism is more commonly associated with delayed puberty rather than precocious puberty, making this a less relevant concern in medication education.
D. Cognitive impairment: Thyroid hormone replacement is essential to prevent intellectual delays and cognitive deficits. Inadequate thyroid hormone during critical developmental periods can lead to long-term impairment in learning, memory, and overall neurological function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Constantly reminding the child to stop scratching to prevent skin damage: Verbal reminders alone are ineffective in controlling pruritus in toddlers, as scratching is often involuntary and exacerbated by dry or irritated skin.
B. Applying topical moisturizers regularly to maintain skin hydration: Frequent use of emollients helps restore the skin barrier, reduces dryness, and prevents itching and flare-ups, which is a primary strategy in managing atopic dermatitis.
C. Administering oral antibiotics to prevent secondary infections from scratching: Antibiotics are only indicated if a secondary bacterial infection is present. Routine prophylactic use is unnecessary and does not prevent the initial skin irritation.
D. Preparing hot baths for the child to soothe the itching skin: Hot water can further dry and irritate the skin, worsening pruritus and increasing the risk of flare-ups. Lukewarm baths are recommended instead.
Correct Answer is A
Explanation
A. "Having our child pull their legs closer to their chest might provide relief.": Flexing the hips and knees reduces stretching of the inflamed peritoneum and decreases tension on the abdominal muscles. This position can lessen pain associated with appendiceal inflammation. It is a commonly recommended non-pharmacological comfort measure in suspected appendicitis.
B. "Applying a warm compress to our child's abdomen can help ease the pain.": Heat increases blood flow and may promote inflammation, which can worsen appendiceal swelling and increase the risk of rupture. Thermal applications to the abdomen are avoided when appendicitis is suspected. This intervention is contraindicated.
C. "Gently massaging our child's abdomen in a circular motion can help.": Abdominal massage increases pressure on inflamed tissues and can exacerbate pain or precipitate perforation. Manipulation of the abdomen is avoided in suspected appendicitis. Comfort measures should minimize, not increase, abdominal stimulation.
D. "We should encourage our child to lie flat on their back to rest.": Lying flat extends the abdomen and increases peritoneal stretch, which may intensify pain. Children with appendicitis often instinctively assume a flexed or side-lying position to reduce discomfort. Flat positioning does not promote pain relief.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.