The nurse realizes that a client with a growth hormone deficiency is not a candidate to receive somatropin (Humatrope) because of which health problems?

Question

Standard Text: Select all that apply.
1. Sleep apnea
2. Morbid obesity
3. Chronic renal failure
4. Type 2 diabetes mellitus
5. Foot wound

Answer 1

Correct Answer: 1,2,3,4
Rationale 1: This medication is contraindicated in clients with sleep apnea due to potentially fatal respiratory impairment.
Rationale 2: This medication is contraindicated in clients with severe obesity due to potentially fatal respiratory impairment.
Rationale 3: This medication should be used with caution in clients with severe renal disease due to reduced clearance.
Rationale 4: This medication should be used with caution in clients with diabetes mellitus due to hyperglycemia and insulin resistance.
Rationale 5: A foot wound is not a contraindication for this medication.
Global Rationale: Sleep apnea and obesity are a contradiction due to potentially fatal respiratory impairment. This medication should be used with caution in clients with severe renal disease due to reduced clearance. This medication should be used with caution in clients with diabetes mellitus due to hyperglycemia and insulin resistance. A foot wound is not a contraindication for this medication.