Uworld

Question 1

Symptoms of hypoglycemia

Answer 1

Sweating & pallor
Irritability
Tremors & weakness
Tachycardia
Drowsiness
Hunger
palpitations, 
altered mental status (eg, difficulty speaking, confusion)

Question 2

Hypoglycemia treatment in a conscious client is administration

Answer 2

Quick-acting carbohydrate options include:

4 oz (120 mL) of a regular soft drink or fruit juice
8 oz (240 mL) of low-fat milk
1 tablespoon (15 mL) of honey or syrup
6 hard candies
Commercial dextrose products

Question 3

emergency glucagon IM injection is indicated if the client is

Answer 3

somnolent (sleepy; drowsy)
unconscious
seizing
or unable to swallow.

Question 4

hypothyroidism

manifestations

Answer 4

Usually asymptomatic at birth (rarely causes delayed meconium passage)
After maternal thyroxine wanes (weeks to months)
Lethargy, poor feeding
Enlarged fontanelle
Protruding tongue, puffy face, umbilical hernia
Constipation
Prolonged jaundice
Dry skin

Question 5

hypothyroidism

Ped diagnose

Answer 5

↑ TSH & ↓ free thyroxine levels

Newborn screening

Question 6

hypothyroidism

Treatment

Answer 6

Levothyroxine

Question 7

Hypothyroidism

Prognosis

Answer 7

No deficits if treatment started in neonatal period

Untreated disease is associated with neurocognitive dysfunction (eg, ↓ intelligence quotient)