The parents of a 10-year-old child in remission from leukemia are upset over the appearance of cushingoid characteristics in the child from long- term use of corticosteroids, currently being administered every other day. Which therapeutic statements would the nurse make to the parents about the cushingoid appearance? Select all that apply.

The manifestations are lessened by taking the prednisone every other day Instead of daily."

"You need to be sure to talk to the doctor about the cushingold characteristics."

Which manifestations of this condition do you find mest troublesome?

"I am sure it will be all right they hardly look unusual

The cushingoid appearance will gradually disappear once the corticosteroids are tapered and discontinued."

Answer and Explanation

Correct Answer : A,B,E

A."The manifestations are lessened by taking the prednisone every other day instead of daily."
Explanation: Cushingoid characteristics can be related to prolonged corticosteroid use. Adjusting the dosing schedule, such as administering prednisone every other day instead of daily, may help minimize these manifestations.
B."You need to be sure to talk to the doctor about the Cushingoid characteristics."
Explanation: Open communication with the healthcare provider is crucial. Discussing the concerns about Cushingoid characteristics with the doctor allows for appropriate evaluation and potential adjustments to the treatment plan.
C."Which manifestations of this condition do you find most troublesome?"
Explanation: This question opens the discussion to identify specific concerns and allows the nurse to address them individually.
D."I am sure it will be all right; they hardly look unusual."
Explanation: This statement may downplay the parents' concerns. It's essential to acknowledge their worries and provide accurate information about the potential impact of corticosteroids and the plan for managing Cushingoid characteristics.
E."The Cushingoid appearance will gradually disappear once the corticosteroids are tapered and discontinued."
Explanation: Cushingoid characteristics are associated with the side effects of corticosteroid use. The nurse should provide reassurance that, in many cases, these characteristics can gradually improve once the corticosteroid dose is tapered and eventually discontinued.

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Correct Answer is D

Explanation

A. Brachial artery:
Incorrect: The brachial artery is commonly used for measuring blood pressure in infants but not for assessing heart rate.
B. Radial artery:
Incorrect: The radial artery is not typically used for assessing an infant's heart rate, especially in the clinical setting.
C. Carotid artery:
Incorrect: The carotid artery is not commonly used for assessing an infant's heart rate. It is more commonly used in adults, but in infants, the apex of the heart is the preferred site.
D. Apex of the heart.
Correct Answer: The apex of the heart is the most accurate site for counting an infant's heart rate. It is located at the point of maximum impulse (PMI), which is usually at the fifth intercostal space in the mid-clavicular line.

A. Heat intolerance B. Bradycardia C. Lethargy D. Weight gain

Correct Answer is A

Explanation

A. Heat intolerance
Explanation:
Graves' disease is an autoimmune disorder that results in hyperthyroidism, meaning there is an overproduction of thyroid hormones. Common symptoms of Graves' disease include heat intolerance, increased sweating, weight loss, palpitations, and anxiety. The hyperactivity of the thyroid gland leads to an increased metabolic rate, causing heat intolerance.
B. Bradycardia
Explanation: Bradycardia (slow heart rate) is not typically associated with Graves' disease. Hyperthyroidism usually leads to an increased heart rate (tachycardia) due to the stimulatory effects of thyroid hormones on the cardiovascular system.
C. Lethargy
Explanation: Lethargy (excessive tiredness or lack of energy) is more commonly associated with hypothyroidism, where there is an insufficient production of thyroid hormones. In Graves' disease, the excess thyroid hormones often lead to symptoms of hyperactivity, not lethargy.
D. Weight gain
Explanation: Weight gain is not a typical finding in Graves' disease. Hyperthyroidism often leads to unintentional weight loss due to increased metabolism and energy expenditure. Weight gain is more commonly associated with hypothyroidism.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

Correct Answer is D

Explanation

A nurse is assessing an adolescent who has an exacerbation of Graves' disease. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented?

A parent of a 9-year-old child newly diagnosed with diabetes mellitus is very concerned about the child participating in social events at school. The nurse creating a plant of care would formulate which goals to address these concerns? Select all that apply.

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A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?

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