Question

Aellai Gianopoulos, 13 years old, is brought to the clinic by her mother, who states that Aellai is losing her hair. Vital signs are as follows: T 98.4°F, HR 85, R 15, BP 121/78. Height is 64 in., and weight is 81.5 kg.

Aellai has an olive complexion marred by acne, large brown eyes, and long black hair that is very thin on the top of her head. Her breasts are small, and she has an abundance of hair on her arms and legs. She reached puberty approximately 6 months ago. (Learning Objective 1, 2, 3, 4, 5, 7, and 8)

a. What other information should the nurse gather in the health history?

b. What laboratory tests would the nurse expect to be ordered for Aellai?

c. What should the nurse include in the teaching plan for Aellai and her family?

Answer 1

1) Other information should the nurse gather in health history is about family history of type 1 diabetes ,Hashimoto thyroiditis , grave diseases , mother history of thyroid or present thyroid problems if any

( As Patient symptoms are very similar to hypothyroidism which are mainly caused in children due to autoimmune disease or genetic disorder thus risks are gathered in health history)

2) lab tests which nurse would expect to be ordered are blood tests that measure TSH and level of thyroxine in serum as both test help in detecting hypothyroidism as increased TSH and decrease thyroxine level show underactive thyroid

3) Information needed to include in teaching plan for aellai and her family

a) Regular follow up is necessary to avoid risk of complication due to it

b) medication compliance is very crucial and medication should be taken as prescribed and on time

c) Weight reduction is important and reduction in weight can help in controlling hypothyroidism which can be done high fibre and carbohydrates rich diet and avoiding junk and snacks also carbonated beverages

d) Avoid extreme cold temperature as patient body is sensitive to higher temperature

e) Provide adequate rest to child as fatique is common

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