Deck 31: Pituitary Drugs

Question 1

The nurse is teaching a patient how to administer desmopressin 10 mcg intranasal.The nurse instructs the patient to press the spray pump how many times to deliver a 10-mcg dose?

A)Once
B)Twice
C)Five times
D)Ten times

Answer 1

Once

Question 2

A patient is taking desmopressin.What important information should the nurse give the patient about this drug therapy?

A)It cannot be taken while the patient is taking a glucocorticoid.
B)It has an enhanced effect if taken with lithium carbonate.
C)It has a reduced effect if taken with carbamazepine.
D)The patient should avoid consuming alcohol during therapy.

Answer 2

The patient should avoid consuming alcohol during therapy.

Question 3

A patient is receiving vasopressin (Pressyn).Which therapeutic response should the nurse expect to see?

A)Improved appetite
B)Increased serum albumin levels
C)Increased serum potassium levels
D)Decreased urinary output

Answer 3

Decreased urinary output

Question 4

A patient is about to receive a dose of octreotide (Sandostatin).
Which contraindications or cautions should the nurse assess for? (Select all that apply.)

A)Carcinoid crisis
B)Diarrhea
C)Diabetes with insulin orders
D)Chronic renal failure
E)Orders for oral hypoglycemic drugs
F)Flushing

Question 5

Which hormone is secreted by the posterior pituitary gland?

A)Growth hormone
B)Follicle-stimulating hormone
C)Antidiuretic hormone
D)Prolactin

Question 6

An 8-year-old girl has been diagnosed with true pituitary dwarfism.She is being treated with somatropin (Humatrope).
Which change is an expected outcome of using somatropin?

A)An increase in growth
B)Decreased urinary output
C)Increased muscle strength
D)An increase in height when she reaches puberty

Question 7

A patient is taking desmopressin (DDAVP)nasal spray.What important information should the nurse tell the patient about this nasal spray?

A)The spray should not be inhaled.
B)Inhale deeply after each spray is administered.
C)The spray should be taken only if symptoms are present.
D)Nasal passages should be cleared after the spray is administered.

Question 8

Which are common adverse effects of desmopressin (DDAVP)?

A)Uterine cramping and constipation
B)Increased blood pressure and nausea
C)Headache and chills
D)Sweating and low blood pressure

Question 9

Which drug is contraindicated with desmopressin (DDAVP)?

A)acetylsalicylic acid (Aspirin)
B)digoxin (Lanoxin)
C)lithium
D)penicillin

Question 10

What is cosyntropin (Cortrosyn)used to diagnosis?

A)Adrenocortical insufficiency
B)Myasthenia gravis
C)Diabetes insipidus
D)Scleroderma

Question 11

A 16-year-old boy who is taking somatropin (Humatrope)has a growth on the back of his hand.When the nurse asks him about it,he says that he has had it several weeks,but it has recently started to get bigger.What should be the next intervention?

A)The growth should be tested.
B)The somatropin dosage should be increased.
C)The somatropin should be stopped immediately.
D)The growth should be documented and monitored for changes.