When providing client teaching to the family of a 12-year-old child receiving somatropin, the nurse stresses the need to notify prescriber if what manifestation occurs?
Severe hip or knee pain.
Upper respiratory infection lasting more than 6 days.
Dry skin accompanied by pruritis.
Nosebleeds.
The Correct Answer is A
This is because somatropin is a growth hormone that can cause slipped capital femoral epiphysis, a condition where the head of the femur slips off the neck of the bone and causes severe pain and disability. The prescriber should be notified immediately if this occurs.
Choice B is wrong because upper respiratory infection lasting more than 6 days is not a serious adverse effect of somatropin and does not require immediate attention from the prescriber.
Choice C is wrong because dry skin accompanied by pruritus is not a common or serious side effect of somatropin and may be due to other causes.
Choice D is wrong because nosebleeds are not a common or serious side effect of somatropin and may be due to other causes.
Normal ranges for growth hormone levels are 0.4 to 10 ng/mL for males and 1 to 14 ng/mL for females.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
800 mg PO at bedtime is an appropriate dosage and frequency of cimetidine for the treatment of gastric ulcer. Cimetidine is a histamine H antagonist that reduces the secretion of gastric acid.
Choice B is wrong because 150 mg PO b.i.d. is too low of a dose for cimetidine. The usual adult dose for duodenal ulcer is 800 mg PO once a day at bedtime or 300 mg PO four times a day.
Choice C is wrong because 20 mg PO b.i.d. is not a valid dose for cimetidine.
The lowest available tablet strength is 100 mg.
Choice D is wrong because 300 mg PO at bedtime is also too low of a dose for cimetidine.
The usual adult dose for gastric ulcer is 800 mg PO once a day at bedtime or 300 mg PO four times a day.
Correct Answer is A
Explanation
This is the recommended dosage for the prevention and treatment of osteoporosis in postmenopausal women.
Choice B is wrong because 70 mg once a week is the dosage for alendronate (Fosamax), not ibandronate.
Choice C is wrong because 400 mg/d is the dosage for etidronate (Didronel), not ibandronate.
Choice D is wrong because ibandronate should be taken on an empty stomach, at least 60 minutes before food or drink.
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