The parents of an 11-year-old boy ask about growth hormone therapy for their child who is shorter than his 10-year-old sister. The nurse will tell the parents that growth hormone
a. does not affect other hormones when given.
b. is available as an oral tablet to be taken once daily.
c. is given after tests prove that it is necessary.
d. may be given until the child's desired height is reached.
ANS: C
Growth hormone is given only when growth hormone deficiency is determined. It cannot be given orally. It antagonizes insulin secretion and thus can lead to the development of diabetes mellitus. It cannot be given after the epiphyses are fused.
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The nurse in a pediatric acute care unit is assigned the following tasks. Based on recognition that the action defined requires training beyond the preparation of a registered nurse, the nurse would refuse to:
1. Diagnose a six-year-old with diversional activity deficit related to placement in isolation. 2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery. 3. Diagnose an eight-year-old with acute otitis media and prescribe an antibiotic. 4. Provide information to a mother of a newly diagnosed four-year-old diabetic about local support group options.
The prenatal clinic nurse is caring for a 15-year-old primiparous client at 8 weeks' gestation. The client is 64 inches tall and weighs 115 pounds. The client asks the nurse why she is supposed to gain so much weight
What is the best response by the nurse? 1. "Gaining 25–35 pounds is recommended for healthy fetal growth." 2. "It's what your certified nurse–midwife recommended for you." 3. "Inadequate weight gain delays lactation after delivery." 4. "Weight gain is important to assure that you get enough vitamins."
A client at 33 weeks gestation calls the healthcare provider's office and reports she was attempting to nap when she became dizzy and felt faint. What assessment data should be collected by the nurse first?
1. The position the client was in during the nap period 2. Dietary intake prior to the episode 3. History of hyperemesis 4. No additional data as this appears to be an isolated incident
The nurse enters a room just as a patient's daughter pushes the button of his intravenous (IV) patient-controlled analgesia (PCA) pump. Which response by the nurse is appropriate?
a. "Thanks for helping out your dad. Is he too weak to push the button?" b. "If you need to push the button for your dad, first be sure his respiratory rate is higher than 10." c. "It is dangerous for anyone but your dad to push the button. Remind him to push it himself if he needs it." d. "It is against hospital policy for anyone but the patient to push the button. If I see you pushing it again, I will have to call the supervisor."