A child with growth hormone (GH) deficiency is receiving GH therapy. The best time for the GH to be administered is:
a. At bedtime. c. Before meals.
b. After meals. d. On arising in the morning.
ANS: A
Injections are best given at bedtime to more closely approximate the physiologic release of GH. Before or after meals and on arising in the morning are times that do not mimic the physiologic release of the hormone.
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After studying the DSM-5 criteria for oppositional defiant disorder (ODD), which listed symptom would a student nurse recognize?
1. Arguing and annoying older sibling over the past year 2. Angry and resentful behavior over a three-month period 3. Initiating physical fights for more than 18 months 4. Arguing with authority figures for more than six months
The nurse psychotherapist is working with an anxious, dependent client. The therapeutic strategy
most consistent with the framework of psychodynamic or psychoanalytic psychotherapy would be a. emphasizing medication compliance. b. identifying client strengths and assets. c. using psychoeducational materials. d. focusing on feelings developed by the client toward the nurse.
The nurse is caring for a client who will be undergoing a radical jaw and throat resection for oral cancer. Which statement by the client indicates that further teaching is needed?
a. "I will have a temporary tracheostomy placed in my neck to help me breathe." b. "I will not be able to get out of bed for 3 days after surgery." c. "The doctor will put in a feeding tube for nutrition until I can swallow and eat." d. "My speech may be slurred for a long time after the surgery."
Each individual listed on the intake sheet for the crisis center resided in the area hit by a tornado. Which individual would the nurse assess as being at greatest risk for a severe crisis reaction?
1. Client A's home was destroyed, and her husband was killed. She sustained no physical injury other than bruises. No insurance was on the home. Her husband had no life insurance. She states, "I don't know what to do. I can't handle this." 2. Client B's house was badly damaged; the factory at which he worked was de-stroyed. He sustained a concussion. No insurance was on the home. He states that he's lucky. 3. Client C's home sustained only minor damage. She has a broken arm. She states, "I can still see my neighbor's home being blown apart." 4. Client D's home is intact, but his car was destroyed. Two neighbors were badly injured. He states, "I was terrified by the noise of the wind."