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).
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Erythema multiforme is a hypersensitivity reaction characterized by target-like lesions, not related to seborrheic dermatitis.
B. Cradle cap is the common term for seborrheic dermatitis in infants, typically presenting as greasy, yellowish scales on the scalp. It is usually benign and self-limited.
C. Hives, or urticaria, are raised, itchy wheals caused by allergic reactions and are distinct from seborrheic dermatitis.
D. Impetigo is a bacterial skin infection, often with honey-colored crusts, and is not related to seborrheic dermatitis.
Correct Answer is B
Explanation
Rationale:
A. Limiting care to age 16 does not reflect the full scope of pediatric practice, as many pediatric NPs continue to manage adolescents and young adults.
B. The scope and standards for pediatric nurse practitioners (PNPs) generally cover care for patients from birth (newborn) through age 21 years, including preventive, acute, and chronic care. This allows PNPs to manage the transition from pediatric to adult healthcare.
C. Starting at 1 month omits neonatal care, which is within the PNP’s scope.
D. Starting at 1 month excludes care for newborns, which is a core component of pediatric practice.
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