The nurse is assessing a client who is newly prescribed to receive supplemental growth hormone therapy. Which parameters should the nurse assess?
1. Bowel sounds, vitamin B12 level, and history of gallbladder disease
2. Height and weight, head circumference, and EKG
3. Blood sugar, blood pressure, height, and weight
4. Urine specific gravity, serum osmolality, and serum electrolytes
Correct Answer: 3
Rationale 1: Bowel sounds, the gallbladder, and absorption of B12 are not negatively affected by GH.
Rationale 2: When preparing to administer growth hormone, the nurse should assess height and weight, but the EKG is not affected by GH therapy.
Rationale 3: When preparing to administer growth hormone, the nurse should assess growth to date, including height and weight. Blood sugar and blood pressure can increase as a result of therapy, so baseline values are needed.
Rationale 4: Urine specific gravity, serum osmolality, and serum electrolyte values are not affected by GH.
Global Rationale: When preparing to administer growth hormone, the nurse should assess growth to date, including height and weight. Blood sugar and blood pressure changes can increase as a result of therapy, so baseline values are needed. The other findings are important, but are not directly affected by the administration of GH.
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