A nurse is educating a young boy about the assessments required to make a diagnosis of growth hormone deficiency. What information should the nurse include in the teaching?

A biopsy of the child's testes will be conducted.

An X-ray of the child's wrists will be performed.

The child will have an MRI of his hypothalamus.

The child will receive IV dye for a pituitary uptake study.

Answer and Explanation

The Correct Answer is B

Rationale:
A. A testicular biopsy is unrelated to growth hormone deficiency and is not part of the diagnostic process.
B. An X-ray of the wrists is used to determine bone age, which helps evaluate delayed growth and is a key assessment in diagnosing growth hormone deficiency.
C. An MRI may be performed later to assess the pituitary gland, but it is not the primary or initial diagnostic tool.
D. A pituitary uptake study using IV dye is not a common or standard procedure in diagnosing growth hormone deficiency in children.

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Correct Answer is B

Explanation

Rationale:
A. Gentle massage over pressure areas can promote circulation and prevent skin breakdown, as long as it does not disturb the alignment.
B. Releasing traction is contraindicated unless specifically ordered by the healthcare provider. Traction must be maintained at all times to ensure proper bone alignment and healing.
C. Regular inspection of pin sites is essential for early detection of infection or complications.
D. Frequent neurovascular assessments are necessary to monitor for complications such as impaired circulation or nerve damage.

A. DMD is a progressive loss of muscle strength and it will worsen over time. B. this is a dominant disorder, so one of the parents likely also has DMD. C. muscle function will gradually return, and recovery is possible in most children. D. DMD results from an apparently toxic reaction to certain medications.

Correct Answer is A

Explanation

Rationale:
A. Duchenne muscular dystrophy is a progressive, X-linked recessive disorder characterized by ongoing muscle fiber degeneration and weakness, typically worsening over time and leading to loss of ambulation and early death.
B. DMD is an X-linked recessive disorder, not dominant. Mothers are typically carriers, and males are affected. Parents are usually asymptomatic.
C. DMD has no cure, and spontaneous recovery of muscle function does not occur.
D. DMD is genetic, not caused by medication toxicity.

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A nurse is educating a young boy about the assessments required to make a diagnosis of growth hormone deficiency. What information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a 7-year-old after insertion of skeletal traction. Which of the following is contraindicated?

Correct Answer is B

Explanation

A nurse is discussing the diagnosis of Duchenne muscular dystrophy (DMD) with the parents of an 8-year-old. She correctly explains:

Correct Answer is A

Explanation

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