Chapter 30 pituitary drugs

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1

After administering somatropin (Serostim), the nurse would assess for adverse effects by monitoring which parameters?

Serum glucose levels

2

A patient who receive Somatropin (Serostim), has migraine headaches, epilepsy, and asthma. The nurse know we have to use this drug cautiously, what action may be required?

Decreasing the dosage of somatotropin

3

The nurse is reviewing the medication list for a patient who will be starting therapy with somatropin. Which type of drug would raise a concern that needs to be addressed before the patient starts the somatropin?

Glucocorticoid

4

The order reads: "Give ocreotide (Sandostatin) 50 mcg subcut twice a day." The medication is available in an injectable form of 0.05 mg/mL. How many milliliters will the nurse draw up for the ordered dose?

1mL

5

A patient is experiencing severe diarrhea, flushing and life threatening hypotension associated with carcinoid crisis. The nurse will prepare to administer which drug?

Octreotide (Sanistaitin)

6

Flushing, low blood pressure, confusion and difficulty breathing are symptoms of carcinoid crisis. Which drug should the nurse expect to administer?

Ocetreotide (Sandostatin)

7

A nurse is administering ocetreotide (Sandostatin) to a patient who has a metastatic Carcinoid tumor. The patient asks about the response of this drug. What is the nurse’s best response?

This drug helps control flushing and diarrhea that you are experiencing.

8

Which drug antagonizes the effects of the natural growth hormone?

Octreotide (Sandostatin)

9

When assessing a patient who is receiving octreotide (Sandostatin) therapy, the nurse will closely monitor which assessment finding?

Blood glucose levels

10

When teaching a patient regarding desmopressin (DDAVP), the nurse will inform the patient to monitor for which potential side effects? (Select all that apply.)

Headache

weight gain

Nasal irration

11

The nurse is providing care to a patient following a non-accidental traumatic brain injury. The patient has developed diabetes insipidus due to the injury. What medication is most often used in the management of diabetes insipidus?

Desmopressin

12

When monitoring for the therapeutic effects of intranasal desmopressin in a patient who has diabetes insipid is, which assessment finding will the nurse look for as a indication that the medication is successful?

Decreased urine output

13

A child has hypopituitary dwarfism, the nurse gives notes he’s on Somatropin. The nurse knows the drug has which therapeutic response?

Increase growth in children

14

Desmopressin and vasopressin should have which therapeutic responses?

Reduces serve thirst and decrease urinary output

15

The nurse recognizes desmopressin as the drug of choice for the treatment of diabetes insipidus because of which characteristic of the drug?

It has a long duration of action

16

Which hormones are produced by the anterior pituitary gland? (Select all that apply.)

Growth hormone (GH)

Thyroid-stimulating hormone (TSH)
Adrenocorticotropic hormone (ACTH

17

A patient with type 1 diabetes mellitus is taking growth hormone. Which assessment finding should be the nurse's priority?

Hyperglycemia

18

For which clinical indication of water intoxication does the nurse monitor the patient taking vasopressin?

Seizures

19

When starting a patient on pituitary hormones, which baseline measurement(s) should the nurse obtain? (Select all that apply.)

Blood pressure
Weight
Blood glucose levels