A child is diagnosed with juvenile hypothyroidism. The nurse should expect to assess which symptoms are associated with hypothyroidism. (Select all that apply.).

Weight loss

Sleepiness or Fatigue

Diarrhea

Puffiness around the eyes

Limited hair growth

Answer and Explanation

Correct Answer : B,D

Sleepiness or fatigue and puffiness around the eyes are symptoms associated with hypothyroidism. Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormones, which regulate the body’s metabolism and energy levels.

Choice A is wrong because weight loss is more likely to occur in hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormones.

Choice C is wrong because diarrhea is also more likely to occur in hyperthyroidism, as the excess thyroid hormones speed up the digestive system.

Choice E is wrong because limited hair growth is not a specific symptom of hypothyroidism. Hair loss or thinning may occur in both hypothyroidism and hyperthyroidism, depending on the severity and duration of the condition.

Normal ranges for thyroid hormones are:

TSH: 0.4 to 4.0 mIU/L
T3: 100 to 200 ng/dL
T4: 4.5 to 11.2 mcg/dL

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Correct Answer is D

Explanation

Chronic otitis media with effusion (OME) is a condition where fluid accumulates in the middle ear without signs of infection.

This can cause hearing loss, speech delay, and balance problems. The child may complain of a feeling of fullness or pressure in the ear.

Choice A is wrong because a fever as high as 40° C (104° F) is a sign of acute otitis media, which is an infection of the middle ear with inflammation and pus formation.

Choice B is wrong because severe pain in the ear is also a sign of acute otitis media, not chronic otitis media with effusion.

Choice C is wrong because nausea and vomiting are not typical symptoms of chronic otitis media with effusion. They may be associated with other conditions such as gastroenteritis or vestibular disorders.

A. Apply an oil-based lotion to the newborn’s skin to prevent drying and cracking. B. Limit the newborn’s intake of milk to prevent nausea, vomiting, and diarrhea. C. Place eye shields over the newborn’s closed eyes. D. Change the newborn’s position every 4 hours.

Correct Answer is C

Explanation

Placing eye shields over the newborn’s closed eyes. This is because phototherapy can cause eye damage and irritation to the newborn, so eye protection is essential.

Choice A is wrong because oil-based lotion can increase the absorption of heat and cause burns to the newborn’s skin.

Choice B is wrong because limiting the newborn’s intake of milk can cause dehydration and increase the risk of hyperbilirubinemia.

Choice D is wrong because changing the newborn’s position every 4 hours is not frequent enough to prevent pressure ulcers and ensure even exposure to the light.

Normal ranges for bilirubin levels in newborns are 1 to 12 mg/dL for term infants and 3 to 14 mg/dL for preterm infants. Phototherapy is usually indicated when the bilirubin level exceeds 15 mg/dL for term infants and 10 mg/dL for preterm infants.

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A child is diagnosed with juvenile hypothyroidism. The nurse should expect to assess which symptoms are associated with hypothyroidism. (Select all that apply.).​​​​​​

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse providing care to a child diagnosed with chronic otitis media with effusion (OME) will assess for which sign/symptom?

Correct Answer is D

Explanation

A newborn is jaundiced and receivesphototherapy via ultraviolet bank lights. An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:

Correct Answer is C

Explanation

The cheese-like, whitish substance that fuses with the epidermis and serves as a protective coating is called:

Which factor is most important in predisposing toddlers to frequent infections such as otitis media, tonsillitis, and upper respiratory tract infections?

Which infant would be more likely to have Rh incompatibility?

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The nurse administers vitamin K to the newborn for which reason?

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The nurse is assessing a child with acute epiglottitis. Examining the child’s throat by using a tongue depressor might precipitate which symptom or condition?

A child is diagnosed with juvenile hypothyroidism. The nurse should expect to assess which symptoms are associated with hypothyroidism. (Select all that apply.).