In the treatment of hypothyroidism in children:
- A. Levodopa is the treatment of choice
- B. Levothyroxine should be used
- C. Triiodothyronine is the first line treatment
- D. Carbimazole is indicated
Correct Answer: B
Rationale: Levothyroxine is the treatment of choice for hypothyroidism, as it replaces the deficient thyroid hormone and helps normalize metabolic functions.
You may also like to solve these questions
Nurse Alice is providing cardiopulmonary resuscitation (CPR) to a child, age 4. the nurse should:
- A. Compress the sternum with both hands at a depth of 1½ to 2†(4 to 5 cm)
- B. Deliver 12 breaths/minute
- C. Perform only two-person CPR
- D. Use the heel of one hand for sternal compressions
Correct Answer: D
Rationale: For a 4-year-old, the heel of one hand is appropriate for sternal compressions to achieve the correct depth and avoid injury.
The following are common side effects of sildenafil EXCEPT
- A. flushing
- B. elevated liver function tests
- C. headache
- D. myalgia
Correct Answer: B
Rationale: Elevated liver function tests are not a common side effect of sildenafil.
Nurse Roy is administering total parental nutrition (TPN) through a peripheral I.V. line to a school-age child. What’s the smallest amount of glucose that’s considered safe and not caustic to small veins, while also providing adequate TPN?
- A. 5% glucose
- B. 10% glucose
- C. 15% glucose
- D. 17% glucose
Correct Answer: B
Rationale: A 10% glucose solution is safe for peripheral veins and provides adequate nutrition without causing irritation or damage.
Which instruction should the nurse include in the discharge teaching for a client who has gastroesophageal reflux?
- A. Teach the client to elevate the head of the bed on blocks
- B. Remind the client to avoid high-fiber foods
- C. Encourage the client to lie down and rest after meals
- D. Instruct the client to use antacids only as a last resort
Correct Answer: A
Rationale: Elevating the head of the bed on blocks helps reduce reflux of stomach acid into the esophagus, improving symptoms of gastroesophageal reflux disease.
A heart transplant may be indicated for a child with severe heart failure and:
- A. Patent ductus arteriosus (PDA)
- B. Ventricular septal defect (VSD)
- C. Hypoplastic left heart syndrome
- D. Pulmonic stenosis (PS)
Correct Answer: C
Rationale: Hypoplastic left heart syndrome is treated by procedures such as the Norwood procedure or heart transplant.