The nurse is administering hormones to several clients. The nurse recognizes that which medication order represents exaggerated response therapy?
1. Insulin to a client with diabetes mellitus
2. Vasopressin to a client with diabetes insipidus
3. Thyroid hormone to a client with a history of Graves disease
4. Corticosteroid to a client with lupus
Correct Answer: 4
Rationale 1: Insulin is not used in exaggerated response therapy.
Rationale 2: Vasopressin is not used in exaggerated response therapy.
Rationale 3: Thyroid hormone in this case would be used as a replacement and not for exaggerated response therapy.
Rationale 4: Exaggerated response therapy is the administration of hormones in large amounts to obtain some specific effects. Corticosteroids are given in large amounts to clients with lupus in order to decrease the inflammatory responses throughout the body.
Global Rationale: Exaggerated response therapy is the administration of hormones in large amounts to obtain some specific effects. Corticosteroids are given in large amounts to clients with lupus in order to decrease the inflammatory responses throughout the body. Insulin and vasopressin are not used in exaggerated response therapy. Thyroid hormone is given as replacement therapy.
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