A nurse is providing teaching to the parents of a school-age child who has a new prescription for somatropin to treat growth hormone deficiency. Which of the following statements should the nurse make?

"This medication might cause hypoglycemia."

"Place this medication under your child's tongue."

"This medication might cause ringing in your child's ears,"

"Measure your child's height monthly while taking this medication."

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Somatropin can affect glucose metabolism and may lead to hypoglycemia. Parents should be aware of this potential side effect and monitor their child's blood sugar levels.

Choice B rationale:

Somatropin is usually administered via injection, not under the tongue.

Choice C rationale:

Ringing in the ears is not a common side effect of somatropin.

Choice D rationale:

Monitoring height monthly is important, but explaining the potential for hypoglycemia is more relevant to the immediate safety of the child.

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Correct Answer is C

Explanation

Choice A rationale:

Developing influenza after receiving the vaccine the previous year is not a contraindication for receiving the vaccine this year. In fact, the vaccine is recommended annually.

Choice B rationale:

Hypertension is not a contraindication for receiving the influenza vaccine.

Choice C rationale:

Clients with a history of Guillain-Barré syndrome should generally avoid receiving the influenza vaccine due to a potential increased risk of recurrence of the syndrome.

Choice D rationale:

Allergies to dairy products are not a contraindication for receiving the influenza vaccine.

A. Positive Rheumatoid factor B. WBC count 2.000/mm3 C. Hemoglobin 14.8 g/dL D. Erythrocyte sedimentation rate 24 mm/hr

Correct Answer is B

Explanation

Choice A rationale:

A positive Rheumatoid factor is associated with rheumatoid arthritis and is not an adverse effect of methotrexate.

Choice B rationale:

A low WBC count (leukopenia) is an adverse effect of methotrexate and can increase the risk of infection.

Choice C rationale:

A hemoglobin level of 14.8 g/dL is within a normal range and is not an adverse effect of methotrexate.

Choice D rationale:

An erythrocyte sedimentation rate (ESR) of 24 mm/hr is within a normal range and is not an adverse effect of methotrexate.

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A nurse is providing teaching to the parents of a school-age child who has a new prescription for somatropin to treat growth hormone deficiency. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer the influenza vaccine to a group of clients. For which of the following clients should the nurse withhold the vaccine?

Correct Answer is C

Explanation

A nurse is monitoring the laboratory values of a client who has rheumatoid arthritis and is taking methotrexate. Which of the following values should the nurse identify as an adverse effect of the medication?

Correct Answer is B

Explanation

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