Author Question: The nurse is administering hormones to several clients. The nurse recognizes that which medication ... (Read 58 times)

theo · **on:** Jul 23, 2018

The nurse is administering hormones to several clients. The nurse recognizes that which medication order represents exaggerated response therapy?

1. Insulin to a client with diabetes mellitus
2. Vasopressin to a client with diabetes insipidus
3. Thyroid hormone to a client with a history of Graves disease
4. Corticosteroid to a client with lupus

Question 2

The nurse is caring for a client with hypocalcemia. In planning to meet the client's needs, the nurse would expect which alteration?

1. An increased level of parathyroid hormone
2. An increased level of serum calcium
3. A decreased level of parathyroid hormone
4. A decreased level of T3 and/or T4

bubulittle310@msn.cn · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Insulin is not used in exaggerated response therapy.
Rationale 2: Vasopressin is not used in exaggerated response therapy.
Rationale 3: Thyroid hormone in this case would be used as a replacement and not for exaggerated response therapy.
Rationale 4: Exaggerated response therapy is the administration of hormones in large amounts to obtain some specific effects. Corticosteroids are given in large amounts to clients with lupus in order to decrease the inflammatory responses throughout the body.
Global Rationale: Exaggerated response therapy is the administration of hormones in large amounts to obtain some specific effects. Corticosteroids are given in large amounts to clients with lupus in order to decrease the inflammatory responses throughout the body. Insulin and vasopressin are not used in exaggerated response therapy. Thyroid hormone is given as replacement therapy.

Answer to Question 2

Correct Answer: 1
Rationale 1: Hypocalcemia is noted by the parathyroid gland, which releases parathyroid hormone, which strives to increase the calcium level back to normal via increased absorption and decreased excretion.
Rationale 2: Hypocalcemia refers to low serum calcium.
Rationale 3: There would not be a decreased level of parathyroid hormone in a client with hypocalcemia.
Rationale 4: Levels of T3 and T4 are not impacted by low serum calcium.
Global Rationale: Hypocalcemia is noted by the parathyroid gland, which releases parathyroid hormone, which strives to increase the calcium level back to normal via increased absorption and decreased excretion. Hypocalcemia refers to low serum calcium. Levels of T3 and T4 are not impacted by low serum calcium.