Health Promotion and Maintenance
84. A child diagnosed with hypopituitarism is to begin receiving daily injections. At what time should a nurse instruct the child's parents to administer the injection each day?
Health Promotion and Maintenance
84. A child diagnosed with hypopituitarism is to begin receiving daily injections. At what time should a nurse instruct the child's parents to administer the injection each day?
Test-Taking Tip
Eliminate the two answers that relate to eating times and eliminate "anytime." The administration of hormone replacement therapy should always attempt to mimic the body's normal secretory patterns (2 hours of sleep).
Content Area: Child Health, Endocrine; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Medication Administration
Health Promotion and Maintenance
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Answer 1 is incorrect because this is not the optimal time for growth hormone injections. Answer 2 is correct because the child will be receiving growth hormone injections and these should be timed to simulate the body's normal growth hormone peak that occurs within the first 2 hours of sleep. Answer 3 is incorrect because this is not the optimal time for growth hormone injections. Answer 4 is incorrect because allowing the child to choose the injection time may not meet the goal of bedtime injections and may result in varying times each day.
