A child with growth hormone deficiency is receiving growth hormone. What result would the nurse interpret as indicating effectiveness of this therapy?
A) Rapid weight gain
B) Complaints of headaches
C) Height increase of 4 inches
D) Growth plate closure
Ans: C
Effectiveness of growth hormone therapy is indicated by at least a 3- to 5-inch increase in linear growth in the first year of treatment. Rapid weight gain and headaches are adverse reactions of this therapy. The drug is stopped when the epiphyseal growth plates close.
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A nurse has promoted the introduction of health care technology into lesser-developed countries, but this has led to less-than-satisfactory results. Which of the following best describes why this has happened?
a. People do not want to use newer technol-ogy. b. The cost is so high that they cannot afford to use new technology. c. The community may not be ready for this technology. d. Technology is too complex for people in lesser-developed countries.
Children sometimes get mottled tooth enamel because they ingest more fluoride than is recommended while their teeth are forming. What causes this?
A) Fluoridated toothpaste C) Drinking water B) Fluoride supplements D) Fluoride in foods
Which of the following statements indicates that medication teaching for the parents of a 6-year-old child with attention deficit hyperactivity disorder (ADHD) has been effective?
A) "We'll teach him the proper way to take the medication so he can manage it independently." B) "We'll be sure he takes the Ritalin at the same time every day, just before bedtime." C) "We're so glad that Ritalin will eliminate the problems of ADHD." D) "We'll be sure to record his weight on a weekly basis."
After activation of the Bainbridge reflex in a patient, the nurse assesses for:
a. increased heart rate. b. decreased blood pressure. c. increased rate and depth of respirations. d. decreased myocardial contractility.