Which are indications for discontinuing growth hormone (GH) therapy in children with documented growth hormone deficiency? (Select all that apply.)
a. Epiphyseal closure has begun.
b. A satisfactory adult height has been achieved.
c. Serum GH levels have been normal for 12 consecutive months.
d. Normal serum growth hormone levels occur.
e. The child no longer responds to the hor-mone.
A, B, E
Treatment with GH for a child with a documented GH deficiency may continue until a satisfac-tory adult height has been achieved, if a child does not show a response to the hormone, or until epiphyseal closure begins. Treatment does not continue for life, and GH should not be adminis-tered during or after closure of the epiphyses. Treatment does not depend on growth hormone levels; these are measured to ensure therapeutic dosing.
You might also like to view...
Teresa Martinez, 78 years old, reports that she is having difficulty hearing her TV and needs to turn the volume up. She has been having crackling sounds in her ears. When the physician examines her ears, both are impacted with cerumen
Why is the incidence of cerumen impaction increased for older adults? a. Increased keratin in cerumen b. Increased production of cerumen c. Older adults are less likely to be in the habit of using cotton-tipped applicators to clean out their ears d. Decreased bathing because of skin dryness, so ears do not get cleaned as often
The nurse is providing patient education after laboratory findings reveal a thyroid-stimulating hormone (TSH) test result of 0.2 microunits/mL. How would the nurse best explain the implica-tions of the laboratory finding to the patient?
a. "Hypothyroidism causes a decrease in TSH." b. "The test probably is erroneous, because you don't have a goiter." c. "TSH is not a good screening test for thyroid disease." d. "The low TSH is consistent with hyperthyroidism."
A nurse teaches a client with a lower motor neuron lesion who wants to achieve bladder control. Which statement should the nurse include in this client's teaching?
a. "Stroke the inner aspect of your thigh to initiate voiding." b. "Use a clean technique for intermittent catheterization." c. "Implement digital anal stimulation when your bladder is full." d. "Tighten your abdominal muscles to stimulate urine flow."
Which of the following best describes an unexpected result of the decrease in funding to traditional public and private forms of health care?
a. Emergency departments where patients can't be turned away are overwhelmed with patients needing nonemergency care. b. Grants are increasingly being requested to pay for care. c. More people don't receive needed health care in a timely manner. d. Programs are developed as a result of community efforts.