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
Phenothiazines are contraindicated in patients with suspected or established subcortical brain damage. Phenothiazines are a class of drugs that have antipsychotic, antiemetic, and sedative effects. They act by blocking dopamine receptors in the brain and can cause extrapyramidal symptoms, hypotension, and anticholinergic effects.
Choice B is wrong because phenothiazines are not contraindicated in patients with ischemic heart disease.
However, they can cause orthostatic hypotension and cardiac arrhythmias, so they should be used with caution and monitored closely in these patients.
Choice C is wrong because phenothiazines are not contraindicated in pediatric patients.
However, they can cause sedation, hypotension, and extrapyramidal symptoms, so they should be used with caution and at lower doses in these patients.
Choice D is wrong because phenothiazines are not contraindicated in patients with type 2 diabetes.
However, they can cause hyperglycemia and weight gain, so they should be used with caution and monitored closely in these patients.
Correct Answer is A
Explanation
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.
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