NSG 420 Chapter 49 Endocrine (Complete And Verified Study material) (14pages) LEARNEXAMS

1. Which information will the nurse include when teaching a 50-year-old male patient about somatropin (Genotropin)? a. The medication will be needed for 3 to 6 months. b. Inject the medication subcutaneously every day. c. Blood glucose levels may decrease when taking the medication. d. Stop taking the medication if swelling of the hands or feet occurs.: Answer B Somatropin is injected subcutaneously daily, preferably in the evening.The patient will need to continue on somatropin for life. If swelling or other common adverse effects occur, the health care provider should be notified. Growth hormone will increase blood glucose levels. 2. Which finding indicates to the nurse that demeclocycline is effective for a patient with syndrome of inappropriate antidiuretic hormone (SIADH)? a. Weight has increased. b. Urinary output is increased. c. Peripheral edema is increased. d. Urine specific gravity is increased.: Answer B Demeclocycline blocksthe action of antidiuretic hormone (ADH) on the renal tubules and increases urine output. An increase in weight or an increase in urine specific gravity indicates that the SIADH is not corrected. Peripheral edema does not occur with SIADH. A sudden weight gain without edema is a common clinical manifestation of this disorder. 3. Which patient statement indicates to the nurse that additional instruction is needed for a patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH)? a. "I should weigh myself daily and report sudden weight loss or gain." b. "I need to shop for foods low in sodium and avoid adding salt to food." c. "I need to limit my fluid intake to no more than 1 quart of liquids a day." d. "I should eat foods high in potassium because diuretics cause potassium loss.": Answer B Patients with SIADH are at risk for hyponatremia, and a sodium supplement may be prescribed.The other patient statements are correct and indicate successful teaching has occurred.