What is a common clinical manifestation of juvenile hypothyroidism?

Diarrhea.

Dry skin.

Insomnia.

Accelerated growth.

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B: Dry skin.

Choice A rationale:

Diarrhea is not a common clinical manifestation of juvenile hypothyroidism. Hypothyroidism is characterized by an underactive thyroid gland, leading to a decrease in metabolic activity. Symptoms of hypothyroidism include fatigue, weight gain, cold intolerance, constipation, and dry skin, but not diarrhea.

Choice B rationale:

Dry skin is a common clinical manifestation of juvenile hypothyroidism. The decreased thyroid function results in a slower metabolic rate, which can lead to dry and coarse skin due to reduced oil production. This symptom is often seen in hypothyroid patients.

Choice C rationale:

Insomnia is not a common clinical manifestation of juvenile hypothyroidism. Hypothyroidism usually leads to fatigue and excessive sleepiness rather than insomnia.

Choice D rationale:

Accelerated growth is not a common clinical manifestation of juvenile hypothyroidism. In fact, the opposite is true. Hypothyroidism in children can lead to growth retardation due to the decreased metabolic rate and altered hormonal balance.

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Correct Answer is B

Explanation

The correct answer is choice b. Grasp the tick by the body to remove.

Choice A rationale:

Cleansing the wound with soap and water is a correct action. It helps to prevent infection after the tick has been removed.

Choice B rationale:

Grasping the tick by the body is incorrect. The proper method is to use fine-tipped tweezers to grasp the tick as close to the skin’s surface as possible and pull upward with steady, even pressure. Grasping the tick by the body can cause the mouth-parts to break off and remain in the skin, increasing the risk of infection.

Choice C rationale:

Leaving the tick in place and seeking emergency medical treatment is not recommended. The tick should be removed as soon as possible to reduce the risk of disease transmission.

Choice D rationale:

Avoiding touching the tick with bare hands is correct. Using gloves or tissue to handle the tick helps prevent the transmission of pathogens.

A. The cuff bladder covers 50% to 66% of the length of the upper arm. B. The cuff is labeled "toddler.". C. The cuff bladder width is approximately 40% of the circumference of the upper arm. D. The cuff bladder length covers 80% to 100% of the circumference of the upper arm.

Correct Answer is A

Explanation

The correct answer is choice A. The cuff bladder covers 50% to 66% of the length of the upper arm.

Choice A rationale:

Selecting a blood pressure cuff with a bladder that covers 50% to 66% of the length of the upper arm is the appropriate criterion for determining the cuff size for a 2-year-old boy. This range ensures accurate blood pressure measurement by ensuring a proper fit on the arm. If the cuff bladder is too small or too large, it can result in inaccurate readings.

Choice B rationale:

The label "toddler" on the cuff might be helpful in identifying the intended age group, but it doesn't provide precise measurements for cuff sizing. Relying solely on a label might not account for variations in arm sizes within the toddler age group.

Choice C rationale:

The cuff bladder width being 40% of the circumference of the upper arm might not be as accurate as the length-based criterion. A cuff that fits the arm's length is more critical in ensuring proper inflation and accurate blood pressure measurement.

Choice D rationale:

The cuff bladder length covering 80% to 100% of the circumference of the upper arm might result in an excessively large cuff for a 2-year-old, which can lead to inaccurate readings. Length-based sizing is more appropriate for accuracy in this scenario.

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What is a common clinical manifestation of juvenile hypothyroidism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education on tick removal. Which action would be incorrect?

Correct Answer is B

Explanation

The nurse must check vital signs on a 2-year-old boy who is brought to the clinic for his 24-month checkup. Which criteria should the nurse use in determining the appropriate-size blood pressure cuff?

Correct Answer is A

Explanation

Which action by the school nurse is important in the prevention of rheumatic fever?

The diet of a child with chronic renal failure is usually characterized as:.

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When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation for this is:.

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