The nurse is teaching an 11-year-old girl and her parents how to administer growth hormone injections. The nurse knows that which of the following interventions will promote the best response to therapy? Select all that apply
1. Give the injections in the morning before breakfast
2. Rotate injection sites each day
3. Strict adherence and minimal doses missed
4. Follow up appointments every 3 to 4 months to monitor growth progress and dose adjustment
2, 3, 4
Feedback
1. Injections should be given before bedtime each day, as the growth hormone is secreted mostly during the night when the child is sleeping.
2. To promote the best response to therapy, the patient should always rotate injection sites daily, using the abdomen, lateral thighs, back of the arms, and the buttocks. Patients who miss minimal doses of their growth hormone have better outcomes to therapy. It is important to see the pediatric endocrinologist at least every 3 to 4 months so that response to therapy can be monitored and doses can be adjusted based on growth response and the patient's weight.
3. To promote the best response to therapy, the patient should always rotate injection sites daily, using the abdomen, lateral thighs, back of the arms, and the buttocks. Patients who miss minimal doses of their growth hormone have better outcomes to therapy. It is important to see the pediatric endocrinologist at least every 3 to 4 months so that response to therapy can be monitored and doses can be adjusted based on growth response and the patient's weight.
4. To promote the best response to therapy, the patient should always rotate injection sites daily, using the abdomen, lateral thighs, back of the arms, and the buttocks. Patients who miss minimal doses of their growth hormone have better outcomes to therapy. It is important to see the pediatric endocrinologist at least every 3 to 4 months so that response to therapy can be monitored and doses can be adjusted based on growth response and the patient's weight.
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