Deck 30: Pituitary Drugs

Question 1

The nurse is taking a medical history to determine whether a 22-year-old female patient should be given cosyntropin (Cortrosyn).Her blood pressure is 124/78 mmHG.She eats a diet high in red meat and carbohydrates and is approximately 9 kg (20 lb)overweight but has started an exercise regimen.She had her appendix removed last month.After reviewing the assessment,the physician decides not to give her the medication.What assessment finding influenced the physician's decision?

A)Diet
B)Weight
C)Activity level
D)Recent surgery

Answer 1

Recent surgery

Question 2

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 only be taken if symptoms are present.
D)Nasal passages should be cleared after the spray is administered.

Answer 2

The spray should not be inhaled.

Question 3

Which of the following hormones is secreted by the posterior pituitary gland?

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

Answer 3

Antidiuretic hormone

Question 4

Which of the following 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 5

An 8-year-old girl has been diagnosed with true pituitary dwarfism.She is being treated with somatropin (Humatrope).Which of the following 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 6

A patient is taking cosyntropin (Cortrosyn).What important information should the nurse tell the patient about this drug therapy?

A)The gel forms may be refrigerated before use.
B)Vaccinations may be given during therapy.
C)Discontinue the medication as soon as symptoms subside.
D)The patient should avoid consuming alcohol during therapy.

Question 7

Which of the following drugs is contraindicated with desmopressin (DDAVP)?

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

Question 8

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.

Question 9

A patient is about to receive a dose of octreotide (Sandostatin).Which of the following 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 10

Cosyntropin (Cortrosyn)is used for the treatment of which of the following?

A)Multiple sclerosis
B)Myasthenia gravis
C)Diabetes insipidus
D)Scleroderma

Question 11

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

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