The nurse is teaching an 11-year-old girl and her parents how to ...

[asmith134]

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

Question 2

A mother is concerned that her 8-month-old child does not have any teeth. The best response from the nurse would be:
 
  1. Teeth tend not to come in until around 18 months, so this is normal..
   2. I understand your concern about the lack of teeth. I will make sure the doctor addresses your concerns..
   3. This is nothing to worry about. Your child is still young, and the teeth will come in when they are ready..
   4. Normal tooth eruption occurs by the one year mark. Continue to watch your child, and report to us if teeth have not come in by then..

[reversalruiz]

Answer to Question 1

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.

Answer to Question 2

4
Feedback
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.