A 13-year-old boy who is in the first percentile of height for ...

[segrsyd]

A 13-year-old boy who is in the first percentile of height for his age has been referred for care. Which of the following assessment findings would contraindicate the safe and effective use of somatropin to treat his growth deficiency?
 
  A) The boy has not yet begun puberty.
  B) The boy has low serum albumin levels.
  C) The epiphyses of the boy's long bones have closed.
  D) The sutures of the boy's skull have not yet fully closed.

Question 2

A patient's medication administration record orders the IM administration of chlorpromazine. When administering this drug, the nurse should
 
  A) observe the patient while he or she self-administers the drug.
  B) administer the drug into the deltoid muscle with a 1 1/2-inch needle.
  C) have the patient massage the injection site for 1 to 2 minutes after the injection.
  D) have the patient lie down for 30 to 60 minutes after the injection.

[C.mcnichol98]

Answer to Question 1

C
Feedback:
Somatropin is ineffective when impaired growth is present after puberty, when the epiphyses of the long bones have closed. Low albumin is not a contraindication to the use of somatropin. The sutures of the skull close early in life.

Answer to Question 2

D
Feedback:
For IM administration of chlorpromazine, the nurse should have the patient lie down for 30 to 60 minutes after the injection to prevent orthostatic hypotension. Massage is unnecessary, and the ventrogluteal site is used. Self-administration is not the norm.

[segrsyd]

Thanks for the timely response, appreciate it

[kalskdjl1212]

Excellent