Question 1

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.

Accepted Answer

Somatropin is a medication used to treat growth hormone deficiency. It can cause asthma-like symptoms as a side effect. Therefore, the dose of somatropin may need to be adjusted to prevent further asthma attacks. Discontinuation of somatropin is not necessary unless the asthma attacks are severe or life-threatening. It is important to continue monitoring the patient's growth as well. Restricting physical education classes may not be necessary if the asthma is well-managed with appropriate medications and the patient is cleared for physical activity.

Question 2

When a patient is receiving vasopressin (Pitressin),the nurse will monitor for which therapeutic response?&#10;A) Improved appetite&#10;B) Increased serum albumin levels&#10;C) Increased serum potassium levels&#10;D) Decreased urinary output

Accepted Answer

Vasopressin is a hormone that stimulates water reabsorption by the kidneys, leading to decreased urine output. Therefore, the therapeutic response that the nurse should monitor for when a patient is receiving vasopressin is a decrease in urinary output.

Question 3

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

0.25 mL
20 units : 1 mL: 5 units x mL
(20 × x)=(1× 5); 20x = 5x =0.25 mL

Accepted Answer

0.25 mL&#10;20 units : 1 mL: 5 units x mL&#10;(20 &#215; x)=(1&#215; 5); 20x = 5x =0.25 mL

Question 4

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?&#10;A) Aspirin&#10;B) Digoxin&#10;C) Lithium&#10;D) Penicillin

Accepted Answer

Lithium can increase the risk of hyponatremia (low sodium levels) when taken with desmopressin, as both drugs can cause the body to retain water. This can lead to serious complications such as seizures, coma, or even death. Therefore, caution is advised when these two drugs are used together. Aspirin, digoxin, and penicillin do not significantly interact with desmopressin.

Question 5

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?&#10;A) Diabetes mellitus&#10;B) Diabetes insipidus&#10;C) Adrenocortical insufficiency&#10;D) Carcinoid tumor

Accepted Answer

Desmopressin (DDAVP) is a medication commonly used to treat diabetes insipidus, a condition marked by excessive thirst and urine production. It is not typically used to treat diabetes mellitus, adrenocortical insufficiency, or carcinoid tumor.

Question 6

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?&#10;A) Increased growth&#10;B) Decreased urinary output&#10;C) Increased muscle strength&#10;D) Increased height when the child reaches puberty

Accepted Answer

Somatropin (human growth hormone) is used to treat true pituitary dwarfism in children. Monitoring for increased growth is the expected outcome of treatment.

Question 7

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?&#10;A) Adrenocortical insufficiency&#10;B) Diabetes insipidus&#10;C) Myasthenia gravis&#10;D) Pituitary dwarfism

Accepted Answer

Cosyntropin is a synthetic form of adrenocorticotropic hormone (ACTH) that is used to diagnose adrenocortical insufficiency, also known as Addison's disease.

Deck 30: Pituitary Drugs