Deck 46: Drugs Affecting the Pituitary

Question 1

When conducting client teaching about somatropin recombinant (Humatrope),the nurse includes that the client should have which of the following laboratory studies monitored periodically?

A) Serum albumin
B) Thyroid function studies
C) Blood urea nitrogen
D) Serum osmolarity

Answer 1

Thyroid function studies

Question 2

A client who has a carcinoid tumor is receiving octreotide (Sandostatin).The nurse would expect a reduction in which of the following symptoms if drug therapy is effective?

A) Diarrhea
B) Rapid growth
C) Abdominal pain
D) Enlarged liver

Answer 2

Diarrhea

Question 3

The nurse anticipates that a client with which of the following conditions would benefit from administration of vasopressin (Pitressin)?

A) Oliguria
B) Bleeding esophageal varices
C) Hypertension
D) Excessive growth rate

Answer 3

Bleeding esophageal varices

Question 4

The nurse assesses that which of the following adverse effects reported by a client taking vasopressin (Pitressin)would be most important to communicate to the prescriber?

A) Abdominal distress
B) Nausea
C) Tremors
D) Urinary difficulties

Question 5

The nurse is aware that somatropin recombinant (Humatrope)would not be appropriate to use in a client of which of the following ages?

A) 9 years
B) 11 years
C) 13 years
D) 17 years

Question 6

A child with growth failure is being considered for drug therapy with somatrem (Protropin).The nurse explains that a parenteral dose would need to be administered with which of the following frequencies?

A) Once per month
B) Once per week
C) Three times per week
D) Daily

Question 7

The nurse would question an order for octreotide (Sandostatin)for a client who has a history of which of the following?

A) Kidney stones
B) Urinary tract infections
C) Gallstones
D) Chronic constipation

Question 8

When explaining the intended effects of somatrem (Protropin),the nurse would include that drug therapy would be considered unsuccessful if the child did not achieve how much growth in 1 year?

A) 2 cm
B) 4 cm
C) 6 cm
D) 8 cm

Question 9

The nurse would question an order for which of the following drugs,which is contraindicated for a client who is taking somatrem (Protropin)?

A) Furosemide
B) Digoxin
C) Hydrocortisone
D) Aspirin

Question 10

Which of the following items would be least important to the nurse who is assessing the therapeutic effectiveness of vasopressin (Pitressin)?

A) Blood albumin
B) Blood pressure
C) Specific gravity
D) Intake and output

Question 11

Which of the following actions would be used by the nurse who is explaining to a client the major benefit of the use of somatrem (Protropin)?

A) Stimulates the growth of long bones
B) Maximizes glucose uptake
C) Antagonizes the effects of insulin
D) Promotes cellular growth

Question 12

A client is beginning drug therapy with pegvisomant (Somavert).The nurse understands that it is being used to treat which of the following conditions?

A) Dwarfism
B) Acromegaly
C) Diabetes insipidus
D) Syndrome of inappropriate antidiuretic hormone release

Question 13

The appropriate nursing action in preparing to administer somatrem (Protropin)is to

A) give it orally.
B) shake the vial vigorously.
C) check the order to determine whether the route is subcutaneous or intramuscular.
D) administer medication from vials that contain cloudy solutions.

Question 14

A child is beginning drug therapy with somatrem (Protropin).The nurse teaches the parents that this drug should be administered at which of the following times?

A) On rising in the morning
B) After breakfast
C) Midafternoon,after coming home from school
D) Bedtime

Question 15

The nurse finds a dose of the newly ordered drug somatrem (Protropin)in the nursing unit's pharmacy inbox.The nurse expects that the drug is ordered for the assigned client with which of the following conditions?

A) Cancer
B) Acquired immunodeficiency syndrome
C) Diabetes insipidus
D) Gigantism

Question 16

The nurse prepares to administer a prescribed dose of desmopressin (DDAVP)intranasally to a client who has which of the following conditions?

A) Syndrome of inappropriate antidiuretic hormone
B) Diabetes mellitus
C) Primary nocturnal enuresis
D) Nocturnal emissions

Question 17

The parents of a client receiving somatropin recombinant (Humatrope)telephone the clinic nurse to report pain and swelling at the injection site.The nurse explains that this finding

A) indicates allergy to the drug.
B) is an expected adverse effect.
C) indicates the drug has lost potency.
D) is a reason to consider termination of drug therapy.

Question 18

A child with growth failure will be started on drug therapy with somatrem (Protropin).The nurse determines that the parents understand medication teaching when they state that the child will be evaluated in what timeframe for possible dosage adjustment?

A) 1 to 2 weeks
B) 1 to 3 months
C) 3 to 6 months
D) At 1 year

Question 19

The nurse explains to the client beginning drug therapy with desmopressin (DDAVP)that which of the following signs of water intoxication is important to report as an adverse effect?

A) Weight loss
B) Insomnia
C) Dark urine
D) Confusion