Author Question: A child with Prader-Willi syndrome (PWS) has short stature, and the provider is considering ... (Read 82 times)

tnt_battle · **on:** Jul 23, 2018

A child with Prader-Willi syndrome (PWS) has short stature, and the provider is considering treatment with growth hormone. Which aspect of this child's history should the nurse report to the provider?

a. Behavior problems
b. Low muscle tone
c. Mental impairment
d. Sleep apnea

Question 2

A patient is diagnosed with Zollinger-Ellison syndrome. Which medication does the nurse expect the provider to order for this patient?

a. Cimetidine Tagamet
b. Esomeprazole Nexium
c. Ranitidine Zantac
d. Sucralfate Carafate

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

Answer to Question 1

D
Growth hormone must be avoided in patients with PWS who are severely obese, who have a history of upper airway obstruction or sleep apnea, or who have severe respiratory impairment because of a risk of sudden death associated with these disorders. Behavior problems, low mus-cle tone, and mental impairment are commonly associated with PWS and are not contraindica-tions to treatment with growth hormone.

Answer to Question 2

C
Ranitidine is used to treat Zollinger-Ellison syndrome. Although cimetidine can also be used, ranitidine is more potent and therefore is preferred. Esomeprazole and sucralfate are not indi-cated.