Author Question: A preschool-age client is well nourished but is in the fourth percentile for height according to ... (Read 23 times)

chandani · **on:** Jul 23, 2018

A preschool-age client is well nourished but is in the fourth percentile for height according to age. The nurse recognizes this client needs to be referred promptly because:

1. there is evidence the client has inadequate GH levels.
2. there is evidence the client has inadequate ACTH levels.
3. there is evidence the child has inadequate TSH levels.
4. there is evidence the child has inadequate FSH and LH levels.

Question 2

Conivaptan (Vaprisol) is prescribed for a client with severe SIADH. The nurse preparing this medication recognizes that the desired outcome of this therapy is:

1. a decreased urine output.
2. an increased urine output.
3. an increased blood pressure.
4. an increased heart rate.

upturnedfurball · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: A client who is below the fifth percentile in height and who is not malnourished might lack sufficient growth hormone (GH). Referral is appropriate because supplementation might be necessary.
Rationale 2: Other hormones also might be lacking, but short stature is not caused by low ACTH levels.
Rationale 3: Other hormones also might be lacking, but short stature is not caused by low TSH levels.
Rationale 4: Other hormones also might be lacking, but short stature is not caused by low FSH and LH levels.
Global Rationale: A client who is below the fifth percentile in height and who is not malnourished might lack sufficient growth hormone (GH). Referral is appropriate because supplementation might be necessary. Other hormones also might be lacking, but short stature is not caused by low ACTH, TSH, FSH or LH levels.

Answer to Question 2

Correct Answer: 2
Rationale 1: Conivaptan (Vaprisol) does not cause a decrease in urine output.
Rationale 2: Conivaptan blocks receptors in the kidneys that normally bind to ADH. With less ADH, there is less antidiuresis. Less antidiuresis means more urine is produced and eliminated.
Rationale 3: Conivaptan (Vaprisol) does not increase blood pressure.
Rationale 4: Conivaptan (Vaprisol) does not increase the heart rate.
Global Rationale: Conivaptan blocks receptors in the kidneys that normally bind to ADH. With less ADH, there is less antidiuresis. Less antidiuresis means more urine is produced and eliminated. It is not given to increase blood pressure or heart rate.