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
The Correct Answer is C
Rationale:
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 A
Explanation
Rationale:
A. Projectile vomiting is a classic sign of pyloric stenosis, where the thickened pylorus muscle obstructs the passage of food from the stomach to the small intestine, causing forceful vomiting.
B. Large amounts of bilious emesis would suggest an obstruction beyond the pylorus, which is not characteristic of pyloric stenosis.
C. Watery diarrhea is not associated with pyloric stenosis, which typically causes dehydration and constipation.
D. Steatorrhea, or fatty stools, is not a feature of pyloric stenosis but rather is associated with malabsorption syndromes.
Correct Answer is C
Explanation
Rationale:
A. Assuming all Asians have the same culture is a generalization and may not accurately represent the specific cultural background of the family in question.
B. Hiring an interpreter may be helpful for language translation but may not provide insights into the nuances of the family's cultural beliefs and practices.
C. Directly engaging with the family and listening to their perspectives allows for a better understanding of their specific cultural beliefs and preferences.
D. While research can provide valuable information, direct communication with the family is essential for truly understanding their cultural needs and preferences.