Nokea
A mother reports that her 4-month-old infant is lethargic, sleeps 18 hours a day, and snores. The nurse recognizes these signs are characteristic of what?
- A. Hypothyroidism
- B. Hyperthyroidism
- C. Type 1 diabetes mellitus
- D. Tay-Sachs disease
Correct Answer: A
Rationale: The infant with hypothyroidism appears sluggish with an enlarged tongue, causing noisy respiration.
You may also like to solve these questions
The nurse reminds the parents of a diabetic with an insulin pump that the tubing of the pump should be changed aseptically every hours.
Correct Answer: 48
Rationale: The tubing of the insulin pump should be changed every 48 hours to prevent infection.
What is the pattern of inheritance for most inborn errors of metabolism?
- A. Autosomal recessive
- B. Autosomal dominant
- C. X-linked recessive
- D. Multifactorial
Correct Answer: A
Rationale: The pattern of inheritance for most inborn errors of metabolism, such as Tay-Sachs disease, is generally autosomal recessive.
Which food sources are high in soluble fiber? (Select all that apply.)
- A. Raw fruits
- B. Cooked vegetables
- C. Beans
- D. Lean meat
- E. Bran cereal
Correct Answer: A,C,E
Rationale: Foods high in soluble fiber include raw fruits, beans, and bran cereal, which help manage blood glucose.
The nurse is teaching the parents of a child with diabetes insipidus about water intoxication. The nurse would tell the parents to be alert for what symptom?
- A. Polyuria
- B. Cough
- C. Weight loss
- D. Lethargy
Correct Answer: D
Rationale: Signs of water intoxication in diabetes insipidus include lethargy due to fluid overload.
What condition does the nurse suspect when a child with type 1 diabetes mellitus has hyperglycemia, diaphoresis, and headaches in the morning?
- A. Dawn phenomenon
- B. Somogyi phenomenon
- C. Honeymoon effect
- D. Ketoacidosis
Correct Answer: B
Rationale: The Somogyi phenomenon involves rebound hyperglycemia due to low blood glucose triggering counter-regulatory hormones.