Answer to Question 1
2, 3, 4
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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.
Answer to Question 2
4
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1. Teeth come at a variety of ages in children.
2. The lack of teeth at this age is normal, and the mother should be reassured that teeth come in at a variety of ages.
3. Stating that there is nothing to worry about is not therapeutic communication by a nurse.
4. This answer identifies the mother's concerns and educates her on when teeth eruption will usually begin.