A nurse is reinforcing education for the parents of a client with hypothyroidism who has been prescribed levothyroxine (Synthroid). The nurse should reinforce the ongoing need for which of the following monitoring or screenings?

Frequent assessments of blood glucose levels

Routine monitoring of thyroid-stimulating hormone (TSH) levels

Regular monitoring of blood pressure

Continuous monitoring of body temperature

Answer and Explanation

The Correct Answer is B

A. Frequent assessments of blood glucose levels. While hypothyroidism can affect metabolism, levothyroxine does not typically require frequent blood glucose monitoring unless the client has diabetes or another metabolic condition.

B. Routine monitoring of thyroid-stimulating hormone (TSH) levels. TSH is the primary indicator used to assess whether levothyroxine dosage is effective. Routine TSH monitoring ensures that thyroid hormone levels remain within the target range, preventing complications such as under-treatment (persistent hypothyroid symptoms) or over-treatment (hyperthyroid symptoms like palpitations and weight loss).

C. Regular monitoring of blood pressure. While thyroid dysfunction can affect blood pressure, routine BP monitoring is not the primary focus of hypothyroidism management unless the client has additional risk factors for hypertension.

D. Continuous monitoring of body temperature. Hypothyroidism can cause cold intolerance, but continuous body temperature monitoring is not necessary unless the client is at risk for severe hypothyroidism complications such as myxedema coma.

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Correct Answer is B

Explanation

A. Mood changes. While mood changes can occur due to various health conditions, they are not a direct indicator of a bleeding disorder. Bleeding disorders typically present with physical symptoms like easy bruising or joint swelling.

B. Swollen knees. Joint swelling (hemarthrosis) is a key sign of bleeding disorders such as hemophilia. In children with a bleeding disorder, even minor trauma can cause bleeding into the joints, leading to pain, stiffness, and swelling, particularly in weight-bearing joints like the knees and ankles.

C. Frequent falls. While frequent falls may result in bruising, they are not a direct indicator of a bleeding disorder. However, children with a bleeding disorder may bruise excessively or experience prolonged bleeding after minor falls.

D. Dental caries. Dental caries (tooth decay) is not a symptom of a bleeding disorder but rather results from poor oral hygiene, dietary factors, or bacterial infection. Bleeding disorders may cause prolonged bleeding after dental procedures, but they do not directly cause cavities.

A. Ask the parents to escort the child's sibling to the family lounge so they are not in the child's room. B. Consult the child life specialist to provide age-appropriate activities and emotional support to the sibling. C. Provide the sibling with coloring pages and crayons to keep them occupied in the child's room. D. Offer the sibling a tour of the hospital unit to help them become more familiar with the environment.

Correct Answer is B

Explanation

A. Ask the parents to escort the child's sibling to the family lounge so they are not in the child's room. Removing the sibling from the room does not address their distress or emotional needs. Siblings of hospitalized children may experience fear, anxiety, or feelings of exclusion, and they need support, not isolation.

B. Consult the child life specialist to provide age-appropriate activities and emotional support to the sibling. Child life specialists are trained to help children understand and cope with hospitalization through play, education, and emotional support. They can help the sibling process their emotions in an age-appropriate way.

C. Provide the sibling with coloring pages and crayons to keep them occupied in the child's room. While coloring can be a helpful distraction, it does not address the sibling’s distress or provide the emotional support they may need to understand their sibling’s condition.

D. Offer the sibling a tour of the hospital unit to help them become more familiar with the environment. A tour may help the child feel more comfortable, but it does not directly address their distress or emotions regarding their sibling’s hospitalization.

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A nurse is reinforcing education for the parents of a client with hypothyroidism who has been prescribed levothyroxine (Synthroid). The nurse should reinforce the ongoing need for which of the following monitoring or screenings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data while caring for a school-age child. Which of the following findings may indicate an undiagnosed bleeding disorder?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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