A nurse is providing teaching for a nondiabetic adult who develops growth hormone deficiency and who will begin treatment with somatropin [Humatrope]. Which statement by the patient in-dicates understanding of the teaching?
a. "Intramuscular dosing is more effective than subcutaneous dosing."
b. "I will have increased muscle mass and strength as well as increased height."
c. "I will need to monitor my blood pressure frequently while taking this drug."
d. "I will need to take insulin while using this, because it causes hyperglycemia."
C
Growth hormone in adults causes an increase in systolic blood pressure, so patients should be taught to monitor blood pressure while taking the drug. Subcutaneous dosing is as effective as IM dosing and is preferred, because it is less painful. Although muscle mass will increase, strength and height will not. Growth hormone is diabetogenic but causes significant problems in patients with preexisting diabetes.
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A) Palpate the sciatic nerve before proceeding with the injection. B) Divide the buttock into four imaginary quadrants. C) Place one hand above the knee and the other at the top of the thigh. D) Palpate the lower edge of the acromion process.
The client that would be a poor candidate for treatment with bethanechol chloride (Urecholine) is the client who is experiencing:
a. severe bradycardia and hypotension. b. tachycardia and hypertension. c. urinary retention and abdominal distention. d. hypertension and urinary retention.
You are measuring blood pressure. How fast should you deflate the cuff?
a. 2 to 4 millimeters per second b. 4 to 6 millimeters per second c. 5 millimeters per second d. 10 millimeters per second
The nurse is caring for a patient who begins to complain of shortness of breath. The nurse assesses the patient and notes 3+ pitting edema bilaterally in the lower extremities. Which medication taken by the patient causes the most concern?
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