An adolescent is being treated with growth hormone. When ...

[ARLKQ]

An adolescent is being treated with growth hormone. When assessing for potential adverse effects, what assessment should the nurse prioritize?
 
  A) Deep tendon reflexes
  B) Level of anxiety
  C) Respiratory rate
  D) Blood glucose

Question 2

What is the most effective way to evaluate the patient's pain response after administering an opioid analgesic?
 
  A) Observe the patient when he/she is not aware you are assessing him/her.
  B) Ask another nurse to assess the patient's response to the medication.
  C) Using a pain scale, ask the patient to describe the pain.
  D) Ask the family to determine the patient's response to the pain.

[bubulittle310@msn.cn]

Answer to Question 1

D
Feedback:
Somatropin decreases insulin sensitivity, resulting in hyperglycemia. Patients most at risk for increased insulin sensitivity are those with obesity, Turner's syndrome, or a family history of diabetes mellitus. Growth hormone can cause anxiety, but is not a priority assessment in this case. The respiratory rate is not the most important objective assessment in this case.

Answer to Question 2

C
Feedback:
Asking the patient to describe the pain using a pain scale is the most effective assessment of pain response. Observing the patient when he/she is unaware is an objective assessment and does not represent a true pain experience. Asking another nurse to assess the patient's response will not provide accurate data. Asking the family to determine the patient's response will not provide accurate data.

[ARLKQ]

Thanks for the timely response, appreciate it

[amandalm]

Gracias!