When considering medications for an 8-year-old diagnosed with hyperthyroidism, the initial recommended treatment in this patient is:

radioactive iodine.

propylthiouracil (PTU).

methimazole (Tapazole).

levothyroxine (Synthroid).

Answer and Explanation

The Correct Answer is C

Rationale:
A. Radioactive iodine is generally reserved for older children or adolescents when medical therapy fails, due to potential long-term effects on growth and fertility.
B. Propylthiouracil (PTU) is avoided in children as first-line therapy because of the risk of severe liver toxicity.
C. Methimazole (Tapazole) is the preferred initial treatment for pediatric hyperthyroidism, as it effectively controls thyroid hormone production with a safer side effect profile.
D. Levothyroxine (Synthroid) is used to treat hypothyroidism, not hyperthyroidism.

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Correct Answer is C

Explanation

Rationale:
A. By 3 months, the plantar grasp reflex may still be present; disappearance occurs later.
B. At 4 months, the reflex is gradually fading but not fully absent in all infants.
C. The plantar grasp reflex, in which the infant curls the toes when the sole of the foot is stroked, typically disappears by around 8 months of age as voluntary control over the toes develops.
D. By 12 months, the reflex is expected to be fully absent, and persistence beyond this age may indicate neurologic abnormalities.

A. aspirin. B. corticosteroids. C. penicillin. D. acetaminophen.

Correct Answer is A

Explanation

Rationale:
A. Aspirin is the mainstay of treatment in Kawasaki disease. It serves two critical purposes: reducing inflammation and fever, and preventing coronary artery aneurysms by inhibiting platelet aggregation. High doses are used initially for anti-inflammatory effects, followed by lower doses for antiplatelet therapy.
B. Corticosteroids may be considered in refractory cases but are not first-line therapy for all patients.
C. Penicillin is not used, as Kawasaki disease is not caused by a bacterial infection.
D. Acetaminophen can reduce fever and discomfort but does not prevent cardiovascular complications and is therefore not sufficient as primary therapy.

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When considering medications for an 8-year-old diagnosed with hyperthyroidism, the initial recommended treatment in this patient is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In infants, the plantar grasp reflex should disappear by age:

Correct Answer is C

Explanation

A 3-year-old patient is diagnosed with Kawasaki disease. An intervention that is important for management of symptoms as well as prevention of complications is:

Correct Answer is A

Explanation

The CDC's recommendation for the initial administration of HPV vaccine in males is:

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