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Pathophysiology (NSG 211)
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Marian University
Academic year: 2023/2024
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Chapter 30: Pituitary Drugs
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse notes in a patient’s medication history that the patient has been taking
desmopressin. 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
ANS: B
Desmopressin is used to prevent or control polydipsia (excessive thirst), polyuria, and
dehydration in patients with diabetes insipidus. The symptoms are caused by a deficiency of
endogenous antidiuretic hormone. The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. 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.
ANS: C
Somatropin is to be used with caution in acute or chronic illnesses, such as migraine
headaches, epilepsy, and asthma. It will not have to be immediately discontinued but will
require close monitoring. The patient’s growth will be measured and documented throughout
therapy with somatropin.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. When a patient is receiving vasopressin, 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
ANS: D
Decreased severe thirst and decreased urinary output are the therapeutic responses expected
with vasopressin. The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. 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
ANS: A
In patients for whom somatropin is indicated, increased growth is expected. The other options
are incorrect.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. When reviewing the medication profile of a patient with a new order for desmopressin, the
nurse notes that a drug interaction will occur if which drug is taken with desmopressin?
a. Aspirin
b. Digoxin
c. Lithium
d. Penicillin
ANS: C
Lithium may cause a decreased therapeutic effect of desmopressin. The other options are
incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6. A patient’s medication order indicates that he is to receive a dose of cosyntropin. 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
ANS: A
Cosyntropin is used for the diagnosis of adrenocortical insufficiency. The other options are
incorrect.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
7. A patient who has been on somatropin 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
0 mL
20 units:1 mL::5 units:x mL. (20 x) = (1 5); 20x = 5; x = 0 mL.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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30 - dsfdsf
Course: Pathophysiology (NSG 211)
33 Documents
Students shared 33 documents in this course
University: Marian University
Was this document helpful?
Chapter 30: Pituitary Drugs
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse notes in a patient’s medication history that the patient has been taking
desmopressin. 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
ANS: B
Desmopressin is used to prevent or control polydipsia (excessive thirst), polyuria, and
dehydration in patients with diabetes insipidus. The symptoms are caused by a deficiency of
endogenous antidiuretic hormone. The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. 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.
ANS: C
Somatropin is to be used with caution in acute or chronic illnesses, such as migraine
headaches, epilepsy, and asthma. It will not have to be immediately discontinued but will
require close monitoring. The patient’s growth will be measured and documented throughout
therapy with somatropin.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. When a patient is receiving vasopressin, 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
ANS: D
Decreased severe thirst and decreased urinary output are the therapeutic responses expected
with vasopressin. The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Evaluation
