A mother, concerned that her 5-year-old child is not growing tall enough, wants a growth hormone prescribed. What is an appropriate response by the nurse?
Explanation & Rationale
Rationale: A. This requires that your child swallows several pills a day: Growth hormone therapy is administered via subcutaneous or intramuscular injection, not oral pills, because the hormone would be destroyed in the gastrointestinal tract. Explaining pill administration is inaccurate and could cause confusion. B. Growth hormone is given after several years of short stature: Growth hormone therapy is prescribed based on documented growth failure, hormone deficiency, or specific medical conditions rather than a set number of years of short stature. Early evaluation and treatment are important to maximize growth potential. C. How tall do you want your child to be in the future?: While parental expectations are important, growth hormone therapy decisions are guided by medical assessment, growth patterns, and hormone levels, not by subjective desired height. This response does not address the clinical evaluation needed. D. A child's growth and growth hormone levels are checked first: Before prescribing growth hormone, clinicians assess growth velocity, bone age, and measure endogenous growth hormone levels to confirm deficiency or another indication. This approach ensures therapy is medically necessary and safe, making it the most appropriate response for the nurse to provide.