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

Question

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Corticotropin is given to diagnose adrenal gland disorders as well as to treat adrenal gland insufficiency.When given intravenously,the serum cortisol level should increase within 30-60 min if the adrenal gland is functioning.The nurse should report adrenal gland dysfunction.The provider will determine how to treat.Since the levels should increase in 30-60 min,there is no need to repeat the test in 1-2 h.

The Nurse Administers Intravenous Corticotropin (Acthar)to a Patient