Which would be a contraindication for hormone therapy with somatropin (Genotropin) in a school-age child?
a. Asthma
b. Dwarfism
c. Enuresis
d. Prader-Willi syndrome
ANS: D
Fatalities associated with risks of taking growth hormone with Prader-Willi syndrome have been reported, so it is contraindicated in patients with this syndrome. It is not contraindicated in patients with asthma or enuresis. Dwarfism is an indication for hormone therapy.
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The nurse is planning dietary education for her patient. What food labeling consideration should she be aware of when planning her education? (Select all that apply.)
a. Ask patients if they read food labels. b. Assess their level of understanding of food labels. c. Encourage them to read the food labels. d. Explain to them all food labels are different.
A patient with a fractured femur has pins inserted through the skin with a rod holding the pins in place. The nurse documents that the patient has had which type of procedure?
A) External fixation B) Internal fixation C) Closed reduction D) Open reduction
The nurse is reinforcing instructions to the mother of a child who has a plaster cast applied to the left arm. Which of the following statements, if made by the mother, indicates a need for further education?
1. "I should use a heat lamp to help the cast dry." 2. "I should cover the cast with plastic when the child bathes or showers." 3. "I should call the physician if the cast feels warm or hot or has an unusual smell or odor." 4. "I should keep small toys and sharp objects away from the cast and be sure that my child does not put anything inside the cast."
Which type of child abuse can be most difficult to treat effectively?
a. Emotional b. Neglect c. Physical d. Sexual