Author Question: An adult client diagnosed with a malfunctioning hypothalamus is experiencing hormone deficiencies. ... (Read 44 times)

jrubin · **on:** Jul 23, 2018

An adult client diagnosed with a malfunctioning hypothalamus is experiencing hormone deficiencies. Which hormones will the nurse expect to be prescribed for this client?

Standard Text: Select all that apply.
1. Thyroid hormone
2. Corticosteroids
3. Estrogen
4. Progesterone
5. Gonadotropin-releasing hormone

Question 2

A preschool-age client weighing 44 lbs is prescribed to receive subcutaneous injections of somatropin (Genotropin) 0.21 mg/kg/week to be administered over 7 days. The client will receive _____ milligrams in one injection.

Standard Text: Record your answer rounding to one decimal place.
What will be an ideal response?

shewald78 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: It is more effective and less expensive to administer pituitary hormones rather than hypothalamic hormones when the hypothalamus is malfunctioning. Thyroid hormone may be prescribed for this client.
Rationale 2: It is more effective and less expensive to administer pituitary hormones rather than hypothalamic hormones when the hypothalamus is malfunctioning. Corticosteroids may be prescribed for this client.
Rationale 3: It is more effective and less expensive to administer pituitary hormones rather than hypothalamic hormones when the hypothalamus is malfunctioning. Estrogen may be prescribed for this client.
Rationale 4: It is more effective and less expensive to administer pituitary hormones rather than hypothalamic hormones when the hypothalamus is malfunctioning. Progesterone may be prescribed for this client.
Rationale 5: Initially the effect of the GnRH analogs is to increase the production of interstitial cell-stimulating hormone (in males) or follicle-stimulating hormone (in females), which increases the secretion of sex hormones. With continued therapy, however, the pituitary becomes insensitive to the effects of GnRH, and the production of sex hormones falls to near castration levels.
Global Rationale: It is more effective and less expensive to administer pituitary hormones rather than hypothalamic hormones when the hypothalamus is malfunctioning. Thyroid hormone, estrogen, corticosteroids, and progesterone may be prescribed for this client. Initially the effect of the GnRH analogs is to increase the production of interstitial cell-stimulating hormone (in males) or follicle-stimulating hormone (in females), which increases the secretion of sex hormones. With continued therapy, however, the pituitary becomes insensitive to the effects of GnRH, and the production of sex hormones falls to near castration levels.

Answer to Question 2

Correct Answer: 0.6
Rationale: The client weighs 44 lbs. To determine kilograms, divide 44 lbs by 2.2. The client weighs 20 kg. Multiply the weekly dose of 0.21 mg by 20. The client should receive 4.2 mg of the medication every week. To determine the daily dose, divide the weekly dose of 4.2 by 7, for 7 days, to calculate that the client is to receive 0.6 mg of the medication every day.
Global Rationale: The client weighs 44 lbs. To determine kilograms, divide 44 lbs by 2.2. The client weighs 20 kg. Multiply the weekly dose of 0.21 mg by 20. The client should receive 4.2 mg of the medication every week. To determine the daily dose, divide the weekly dose of 4.2 by 7, for 7 days, to calculate that the client is to receive 0.6 mg of the medication every day.