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 ["A","C","D","E","F"]

Explanation

A health history is a holistic assessment of all factors affecting a patient’s health status, including information about social, cultural, familial, and economic aspects of the patient’s life as well as any other component of the patient’s life style that affects health and well-being.

Choice B is wrong because physical assessment is not part of the health history, but a separate process of examining the patient’s body systems.

Choice A is correct because review of systems is a systematic method of collecting data on all body systems.

Choice C is correct because sexual history is an important aspect of the patient’s health that may affect their risk for sexually transmitted infections, reproductive health, and psychosocial well-being.

Choice D is correct because height, weight, BMI data are part of the biographical data that provide a baseline for comparing the patient’s characteristics to established norms for physical and emotional health.

Choice E is correct because diet and nutritional intake are relevant factors that influence the patient’s health status and may indicate potential problems such as malnutrition, obesity, or eating disorders.

Choice F is correct because family medical history provides information about the patient’s genetic risk for certain diseases and conditions that may affect their current or future health.

A. Respiratory rate of 36 breaths/minute at rest B. Appetite slowly increasing C. Temperature above 37.7° C (100° F) D. New, frequent coughing E. Turning blue or bluer than normal

Correct Answer is ["C","D","E"]

Explanation

The parents should notify the physician if the infant has a temperature above 37.7° C (100° F), new frequent coughing, or turning blue or bluer

than normal. These are signs of infection, respiratory distress, or cyanosis, which could indicate complications after cardiac surgery.

Choice A is wrong because a respiratory rate of 36 breaths/minute at rest is within the normal range for an infant.

Choice B is wrong because an appetite slowly increasing is a positive sign of recovery and does not require immediate attention.

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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

Which data would be included in a health history? (Select all that apply.).

Correct Answer is ["A","C","D","E","F"]

Explanation

A nurse is conducting discharge and teaches parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician if the conditions occur. (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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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.).