The Nurse Administers Intravenous Corticotropin (Acthar) to a Patient

The nurse administers intravenous corticotropin (Acthar) to a patient. A serum cortisol level drawn 60 minutes later shows no change in serum cortisol levels from prior to the dose. What is the nurse's first action?

A) Notify the provider to discuss a possible non-functioning adrenal gland.
B) Recognize the need for an increased dose to treat pituitary insufficiency.
C) Request an order for a second dose of corticotropin to treat cortisone deficiency.
D) Request an order to repeat the serum cortisol level in 1-2 h.