A nurse has received an order for the growth hormone somatropin ...

[Jipu 123]

A nurse has received an order for the growth hormone somatropin to be given to a 14-year-old boy. The correct weekly dose for a 110 pound boy is:
 
  1. 20 mg.
   2. 10 mg.
   3. 15 mg.
   4. 25 mg.

Question 2

The nurse is discussing follow-up visits with the family of a boy using growth hormone therapy. The parents demonstrate understanding of the teaching with which statement?
 
  1. We will need to track his height every week and record it for the doctor..
   2. We will need to have follow-up visits every 3 to 4 months to measure progress..'
   3. Our next visit will be in one year to assess growth..
   4. He will need to watch his weight closely and provide the record at the next visit..

[atrochim]

Answer to Question 1

3
Feedback
1. The dose is too high.
2. The dose is too low.
3. 0.3 mg/kg/week is the recommendation. 15 mg per week is appropriate.
4. The dose is too high.

Answer to Question 2

2
Feedback
1. Height will change gradually, so measurements on a weekly basis are not recommended.
2. Measurements and visits every 3 to 4 months will allow for growth to occur and for the medical provider to assess for needed changes.
3. Growth patterns should be monitored more closely while taking a growth hormone to make changes to the medication as needed.
4. Weight gain is not an issue with hormone replacement therapy and can be monitored at the medical provider visits.