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Question ⬇

Health Promotion and Maintenance

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85. An infant is hospitalized for congenital adrenal hyperplasia (CAH). Which medication should a nurse anticipate to be part of the child's treatment plan?

Choices

Choices ⬆ ⬇

1. Insulin.

2. Cortisone.

3. Growth hormone.

4. Thyroid hormone.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

The adrenal glands synthesize corticosteroids. Only one answer option is a corticosteroid–cortisone.

Content Area: Child Health, Endocrine; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes

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Rationale ⬆

Health Promotion and Maintenance

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2.  

Answer 1 is incorrect because insulin is not part of the treatment plan for a child with CAH. Answer 2 is correct since the child with congenital adrenal hyperplasia (CAH) is given cortisone to stop the increased production of adrenocorticotropic hormone (ACTH), thereby inhibiting adrenocorticoid secretion and virilization of girls/early genital development in boys. Answer 3 is incorrect because growth hormone is used to treat hypopituitarism, not CAH. Answer 4 is incorrect because thyroid hormone is used to treat hypothyroidism.

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