The nurse should instruct the family of a pediatric client with newly diagnosed hyperthyroidism to expect which of the following symptoms?

Reduced intellectual processing

Slow, lethargic movements

Recent weight loss

Swollen, protuberant abdomen

Answer and Explanation

The Correct Answer is C

A. Reduced intellectual processing is not typically associated with hyperthyroidism; it is more commonly associated with hypothyroidism.

B. Slow, lethargic movements are more indicative of hypothyroidism rather than hyperthyroidism.

C. Recent weight loss is a common symptom of hyperthyroidism due to increased metabolic rate and appetite changes.

D. A swollen, protuberant abdomen is not a typical symptom of hyperthyroidism. It is more associated with other conditions such as hypothyroidism or gastrointestinal issues.

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Correct Answer is B

Explanation

A. PKU is typically diagnosed through a blood test, not a urine test. The blood test measures phenylalanine levels, which are elevated in PKU.

B. Untreated PKU can lead to severe cognitive deficits and developmental delays due to the accumulation of phenylalanine, which is toxic to the brain. Early detection and treatment can prevent these outcomes.

C. In PKU, the urine does not typically contain high levels of phenyl pyruvic acid; it is the blood levels of phenylalanine that are elevated.

D. The effects of PKU are not reversible; however, with early and consistent treatment, such as a strict low-phenylalanine diet, the symptoms can be managed effectively.

A. Maintain prone positioning. B. Request a laboratory prescription for a white blood cell count. C. Administer prescribed acetaminophen. D. Encourage the use of an incentive spirometer.

Correct Answer is D

Explanation

A. Prone positioning is not recommended post-operatively for abdominal surgery and could exacerbate respiratory issues.

B. While monitoring white blood cell count is important, encouraging lung expansion and preventing complications such as atelectasis is a more immediate priority.

C. The client's pain rating is low and does not necessitate immediate administration of acetaminophen.

D. Encouraging the use of an incentive spirometer helps improve lung expansion, which is crucial to prevent atelectasis and promote proper oxygenation, particularly when breath sounds are diminished.

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The nurse should instruct the family of a pediatric client with newly diagnosed hyperthyroidism to expect which of the following symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The caregiver whose newborn was newly diagnosed with phenylketonuria (PKU) has questions about the disorder. Which statement made by the nurse is correct regarding PKU?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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