A preschool-age client is well nourished but is in the fourth percentile for height according to age. The nurse recognizes this client needs to be referred promptly because:
1. there is evidence the client has inadequate GH levels.
2. there is evidence the client has inadequate ACTH levels.
3. there is evidence the child has inadequate TSH levels.
4. there is evidence the child has inadequate FSH and LH levels.
Correct Answer: 1
Rationale 1: A client who is below the fifth percentile in height and who is not malnourished might lack sufficient growth hormone (GH). Referral is appropriate because supplementation might be necessary.
Rationale 2: Other hormones also might be lacking, but short stature is not caused by low ACTH levels.
Rationale 3: Other hormones also might be lacking, but short stature is not caused by low TSH levels.
Rationale 4: Other hormones also might be lacking, but short stature is not caused by low FSH and LH levels.
Global Rationale: A client who is below the fifth percentile in height and who is not malnourished might lack sufficient growth hormone (GH). Referral is appropriate because supplementation might be necessary. Other hormones also might be lacking, but short stature is not caused by low ACTH, TSH, FSH or LH levels.
You might also like to view...
Which of the following activities are normally undertaken as part of doing a meta-analysis? Select all that apply
A) Obtaining the original data set from primary study researchers B) Selecting a sample of studies C) Systematically extracting and recording data D) Evaluating the quality of studies
Protein is an important nutrient that helps supply the body with the elements necessary for life. Protein can be used by the body for fuel when what occurs?
A) Complete proteins are consistently ingested. B) When there are inadequate stores of iron in the body C) When the RDA for B vitamins are met D) When there is inadequate intake of calories
The causes of poverty are complex and interrelated. Which of the following factors affect the growing number of poor persons in the United States?
1. Increased earnings 2. Changes in the labor force 3. Better education and job skills 4. Adequate welfare benefits
A pregnant client is scheduled for a transabdominal cerclage. What teaching information should the nurse prepare for this client? Select all that apply
1. Cesarean section birth 2. Preoperative laparotomy 3. Potential for hydramnios 4. Risk for abruptio placentae 5. Premature rupture of membranes