The mother of a child awaiting a renal transplant asks the nurse whether growth hormone could be effective for her child. What is the nurse's best response?
A) "Growth hormone is only used to treat short stature in children who do not produce enough growth hormone naturally."
B) "Growth hormone has been used successfully in children with renal failure but there is a lot to consider and you should talk to the doctor about it."
C) "Administration of growth hormone requires frequent injections so it would be cruel for a child with existing medical problems."
D) "You do not want to use growth hormone if you do not have to. What would make you even think of something like that?"
B
Feedback:
Growth hormone therapy is used with children with renal failure but the decision carries risks as well as benefits so it is important for the mother to talk to the child's primary physician and nephrologist to get recommendations for its safety. It is not just used in children with inadequate growth hormone secretion. It is never correct for the nurse to castigate the mother for a question so telling her it would be cruel or that she should not use it if it is not essential would destroy the patient/nurse relationship.
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