Deck 30: Pituitary Drugs

Question 1

A patient's medication order indicates that he is to receive a dose of cosyntropin (Cortrosyn). The nurse is aware that this drug is used to diagnose which condition?

A) Adrenocortical insufficiency
B) Diabetes insipidus
C) Myasthenia gravis
D) Pituitary dwarfism

Answer 1

Adrenocortical insufficiency

Question 2

An 8-year-old child has been diagnosed with true pituitary dwarfism and is being treated with somatropin. In follow-up visits, the nurse will monitor for which expected outcome?

A) Increased growth
B) Decreased urinary output
C) Increased muscle strength
D) Increased height when the child reaches puberty

Answer 2

Increased growth

Question 3

When reviewing the medication profile of a patient with a new order for desmopressin (DDAVP), the nurse notes that a drug interaction will occur if which drug is taken with desmopressin?

A) Aspirin
B) Digoxin
C) Lithium
D) Penicillin

Answer 3

Lithium

Question 4

A patient who has been on somatropin (Humatrope) has been hospitalized for an acute asthma exacerbation, and is receiving intravenous doses of glucocorticoids. The nurse recognizes that which effect may occur if these drugs are given together?

A) Reduction of growth effects
B) Hyperkalemia
C) Increased urine output
D) Diarrhea

Question 5

When a patient is receiving vasopressin (Pitressin), the nurse will monitor for which therapeutic response?

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

Question 6

Which of these hormones are secreted by the anterior pituitary gland?

A) Antidiuretic hormone (ADH)
B) Thyroid-stimulating hormone (TSH)
C) Oxytocin
D) Growth hormone (GH)
E) Adrenocorticotropic hormone (ACTH)

Question 7

A 16-year-old boy who is taking somatropin comes into the office because he had an asthma attack during a race at school. Because of this new development, the nurse expects which intervention to occur next?

A) He will need to stop participating in school physical education classes.
B) The somatropin must be discontinued immediately.
C) The somatropin dosage may be adjusted.
D) His growth will be documented and monitored for changes.

Question 8

A patient is to receive vasopressin (Pitressin) 5 units subQ twice a day. The medication is available in a vial that contains 20 units/mL. Identify how many milliliters the nurse will draw up for this dose. (record answer using two decimal places) _______

Question 9

The nurse notes in a patient's medication history that the patient has been taking desmopressin (DDAVP). Based on this finding, the nurse interprets that the patient has which disorder?

A) Diabetes mellitus
B) Diabetes insipidus
C) Adrenocortical insufficiency
D) Carcinoid tumor

Question 10

A patient is about to receive a dose of octreotide (Sandostatin). The nurse will assess for which contraindications or cautions?

A) Carcinoid crisis
B) Diarrhea
C) Type 1 diabetes mellitus
D) Gallbladder disease
E) Chronic renal failure
F) Esophageal varices