Question

Part 5THE NERVOUS AND ENDOCRINE S Client Profile (20 in.) long when she was born. At Andrea was 3.6 kg (8 Ib) and was 50 em (zonital hypothyrodshas diagnosed with congenital hypothyroidism. She is now er mother and two siblings. Since her diagnosis she has months of age, she was 7 years old and lives with congeni levothyroxine. She sees her pediatrician every 6 months for at her visit 6 weeks ago her dosage was increased to 125 meg once "B" average. For the past month Andrea and two follow-u every day. She enjoys school and earns a has experi and ced difficulty in school and her mother notices that Andrea is irritable e keeping her attention focussed on tasks that normally would not culty. She has problems sleeping and for the past week has experi- uts of diarrhea. Her mother makes an appointment with Andrea's has trouble enced daily pediatrician. Case Study ught to the pediatrician's office by her mother. The office nurse greets er mother and notes that Andrea is fidgety and has difficulty focusing a's vital signs are: Temperature, 37.8° C (100° F); A Andrea and he on the nurse's questions. Andre minute; respirations, 28 breaths/minute; and blood pressure, e weighs 55 lb and is 112.5 cm (45 in.) tall. Her mother explains that past week. During the nursing history, Andreas mother tells the nurse about the other changes that she has noted in her daughter 116/76. She as had diarrhea for the D over the past month.

Answer 1