The nurse is caring for an 8-year-old girl with hyperpituitarism. ...

[joe]

The nurse is caring for an 8-year-old girl with hyperpituitarism. What ordered treatment will the nurse expect to perform?
 
  A) Give desmopressin acetate intranasally
  B) Inject octreotide acetate
  C) Give 1 mg/kg/day of methimazole
  D) Administer glipizide orally

Question 2

The nurse is examining a 2-year-old child who was adopted from Guatemala. What would be a priority screening for this child?
 
  A) Screening for congenital defects
  B) Screening for abuse
  C) Screening for childhood illnesses
  D) Screening for infectious diseases

[leeeep]

Answer to Question 1

Ans: B
The nurse would give the child a subcutaneous injection of octreotide acetate every 12 hours as directed. Desmopressin is a synthetic antidiuretic hormone used to treat diabetes insipidus. Methimazole is an antithyroid drug used to treat hyperthyroidism. Glipizide is a hypoglycemic drug that assists insulin production in children with diabetes mellitus type 2.

Answer to Question 2

Ans: D
Although all the screenings are important, health supervision of the internationally adopted child must include comprehensive screening for infectious disease. In 2008, approximately 19,600 children were adopted from countries outside the United States, many from areas with a high prevalence of infectious diseases (Intercountry Adoption, Office of Children's Issues, U.S. Department of State, 2010a, 2010b). Guatemala, China, and Russia supplied about half of all international adoptees in 2008, followed by Ethiopia, South Korea, and Vietnam. Proper screening is important not only to the child's health but also to the adopting family and the larger community.