Deck 44: Drugs for Pituitary, Thyroid, and Adrenal Disorders

Question 1

For which condition does vasopressin (Vasostrict) treat?

A) Diabetes insipidus
B) Dehydration
C) Electrolyte imbalances
D) Diabetes mellitus

Answer 1

Diabetes insipidus

Question 2

Which describes the function of the thyroid gland?

A) Stimulate growth
B) Control pituitary gland secretion
C) Conserve water in the body
D) Control basal metabolism

Answer 2

Control basal metabolism

Question 3

Which symptom should the nurse monitor the client for that is diagnosed with diabetes insipidus?

A) Increased dilute urine output
B) Hyperglycemia
C) Hyponatremia
D) Fluid retention

Answer 3

Increased dilute urine output

Question 4

Which describes the primary goal of pharmacotherapy for the treatment of hyperthyroidism (Graves' disease)?

A) Decrease the metabolic processes
B) Increase synthesis of thyroid hormones
C) Lower the activity of the thyroid gland
D) Prevent a thyroid storm from occurring

Question 5

Which information should the nurse include in the education for a client who has been prescribed levothyroxine (Levothroid)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "It may take a few weeks for you to see the full benefits from this drug."
B) "Be sure to keep all of your follow-up appointments."
C) "Take this medication at whatever time you eat your evening meal."
D) "Do not start a fiber laxative without first discussing it with your healthcare team."
E) "Take your calcium supplement at least 4 hours after taking this drug."

Question 6

The nurse has provided education for a client prescribed glucocorticoid therapy. Which statement made by the client indicates further teaching is required?

A) "I can take the medication at any time as long as I don't forget it."
B) "I will monitor my blood sugar on a regular basis."
C) "I will eat a diet that is high in protein."
D) "I should take my medication after I have eaten."

Question 7

The nurse is reviewing the records of a child being treated for a short stature. Which prescription should the nurse anticipate the child is receiving?

A) Somatotropin (Accretropin)
B) Pegmisovant (Somavert)
C) Octreotide (Sandostatin)
D) Bromocriptine (Cycloset)

Question 8

The nurse has provided education for a client prescribed desmopressin (DDAVP). Which statement made by the client indicates an understanding of the information?

A) "This medication is a potent vasodilator."
B) "This medication promotes diuresis in my body."
C) "This medication increases water reabsorption in my kidneys."
D) "This medication suppresses hormone secretion from my posterior pituitary gland."

Question 9

The nursing instructor teaches the student nurses about the endocrine system. The nursing instructor evaluates that learning has occurred when the student nurses make which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "The hypothalamus secretes releasing hormones."
B) "Hormones released by the endocrine system influence every organ in the body."
C) "The hypothalamus is considered the master gland."
D) "The pituitary gland secretes TSH (thyroid-stimulating hormone)."
E) "The endocrine system is a major controller of homeostasis."

Question 10

Which outcome should the nurse anticipate for the client receiving treatment with radioactive iodine (Iodine-131) therapy?

A) The client will only temporarily accomplish the euthyroid state.
B) The client should limit fluid intake during the treatment.
C) The client will most likely require thyroid replacement therapy.
D) The client should avoid contact with others until the treatment is over.

Question 11

Which finding should the nurse be most concerned about for a client with hypothyroidism?

A) Dry skin
B) Generalized weakness
C) Muscle cramps
D) Weight gain

Question 12

Which food selection should the client with hyperthyroidism be instructed to avoid?

A) Soy sauce
B) Dairy products
C) High-calorie foods
D) Caffeine-free soda

Question 13

Which electrolyte disturbance should the nurse assess a client for that is receiving hydrocortisone therapy?

A) Hypernatremia and hyperglycemia
B) Hypernatremia and hyperkalemia
C) Hypercalcemia and hyperkalemia
D) Hypoglycemia and hyponatremia

Question 14

Which assessment findings should the nurse anticipate for the client with Cushing's syndrome?

A) Hypotension
B) Tachycardia
C) Upper body obesity
D) Thin, gaunt appearance of the face

Question 15

Which assessment findings are associated with Cushing's disease? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Acne
B) Osteoporosis
C) Confusion
D) Delayed wound healing
E) Lethargy

Question 16

Which should the nurse monitor the client for that is receiving glucocorticoid therapy?

A) Hypothermia
B) Hypotension
C) Hypertension
D) Weight loss

Question 17

Which is the initial step of the negative feedback regulation that results in the suppression of secretion of TSH and TRH thyroid hormone?

A) Blood levels of thyroid hormone rise.
B) Hypothalamus secretes thyroid-releasing hormone (TRH).
C) T3 and T4 are secreted.
D) The anterior pituitary secretes thyroid-stimulating hormone (TSH).

Question 18

Which finding is a sign or symptom of hypothyroidism?

A) Anxiety
B) Bradycardia
C) Tachycardia
D) Weight loss

Question 19

The nurse is preparing to educate a client prescribed levothyroxine (Synthroid). Which information should the nurse include in the teaching?

A) Monitor daily temperature.
B) Assess for decreased appetite.
C) Assess weekly serum blood levels.
D) Assess for altered sleep patterns.

Question 20

Which should the nurse include in the plan of care when administering intranasal desmopressin (DDAVP) to a client?

A) Instruct the client to blow his nose following administration.
B) Be sure to have fresh water at the bedside.
C) Withhold other prescriptions when administering desmopressin (DDAVP) to ensure absorption.
D) Direct the spray high into the nasal cavity.

Question 21

Which assessment finding should the nurse recognize is an adverse CNS effect of mitotane (Lysodren)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Confusion
B) Tinnitus
C) Lethargy
D) Increasing depression
E) Dizziness

Question 22

A client with Addison's disease is experiencing nausea, vomiting, and confusion. Which priority intervention should the nurse anticipate to be included in the plan of care?

A) Placement of a nasogastric tube
B) Administration of intravenous hydrocortisone
C) Administration of intravenous diuretic
D) Immediate endotracheal intubation

Question 23

Which should the nurse anticipate will be included in a client's treatment plan to limit the incidence of serious adverse effects when prescribing corticosteroids?

A) Administer steroids every other day
B) Administer small doses over a period of several weeks
C) Administer oral doses of the prescription whenever possible
D) Administer large doses for acute conditions then discontinue the prescription

Question 24

Which should the nurse monitor a client for who has been on long-term steroid therapy?

A) Acute closed angle glaucoma
B) Muscle wasting
C) Ulcerative colitis
D) Weight loss

Question 25

Which should the nurse instruct a client to report that has been prescribed methimazole (Tapazole)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Unexplained bruising
B) Anxiety
C) Decrease sense of taste
D) Weight loss
E) Intolerance to cold

Question 26

Which should the nurse be most concerned about during the treatment of a client experiencing a thyroid storm?

A) The client requires a second dose of propylthiouracil.
B) The client develops crackles in both lung bases.
C) The client begins to shiver.
D) The client becomes hyperglycemic.

Question 27

Which information should the nurse include in the teaching for the client prescribed long-term corticosteroid therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Avoid carbonated beverages.
B) Participate in regular weight-bearing exercises.
C) Avoid taking calcium supplements.
D) Take your prescription with food or milk.
E) Avoid caffeine in the diet.

Question 28

Which information should the nurse include in education for a client prescribed methimazole (Tapazole)?

A) "Occasionally you may feel your heart beating fast."
B) "Call the clinic if you are having trouble sleeping."
C) "It is important for you to schedule periodic liver function tests."
D) "You may experience a weight loss while taking this prescription."

Question 29

Which statements made by a client indicate an understanding of the education for corticosteroid therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "If I cannot take my medicine for more than 2 days, I will contact my healthcare provider."
B) "I will take my medication at the same time every day."
C) "I will take my medication with food or a meal."
D) "I will avoid dairy products while taking this medication."
E) "If I notice my vision is changing, I will contact my healthcare provider."

Question 30

Which result from the diagnostic testing with cosyntropin (Cortrosyn) for adrenocortical insufficiency indicates secondary adrenocortical insufficiency has occurred?

A) The client's plasma level of cortisol rises following the injection.
B) The client has carpal spasms following injection.
C) The client's urine cortisol fails to rise following the injection.
D) The client experiences flushing following the injection.