A nurse is explaining the need to track blood glucose levels to a client who will be receiving growth hormone injections. The explanation is based on the recognition that additional growth hormone will:
1. increase insulin resistance.
2. decrease blood glucose levels.
3. promote very rapid growth.
4. trigger type I diabetes mellitus.
Correct Answer: 1
Rationale 1: Higher levels of growth hormone tend to increase insulin resistance at the cellular level, which makes blood glucose increase.
Rationale 2: Growth hormone does not decrease blood glucose levels.
Rationale 3: Growth accelerates, but it is not rapid at the recommended dose range. This also does not explain the purpose of tracking blood glucose levels.
Rationale 4: The increased level of GH does not damage the pancreas or cause type 1 diabetes mellitus.
Global Rationale: Higher levels of growth hormone tend to increase insulin resistance at the cellular level, which makes blood glucose increase. Growth accelerates, but it is not rapid at the recommended dose range. This also does not explain the purpose of tracking blood glucose levels. The increased level of GH does not damage the pancreas or cause type 1 diabetes mellitus.
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