Chapter 30 - Pituitary Drugs

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Chapter 30 - Pituitary Drugs
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1

The health care provider prescribes somatropin (Genotropin) in a dosage of 0.35 mg/kg/wk intramuscularly for growth hormone deficiency. The patient's weight is 48 lb. What is the correct dose for the nurse to administer?

7.6 mg/wk

2

The nurse has a prescription to administer vasopressin (Pitressin) to a pediatric patient for gastrointestinal hemorrhage. The dose prescribed is 0.003 units/kg/min. The patient's weight is 55 lb. What is the correct infusion rate for vasopressin?

0.075 u/min

3

The nurse would question a prescription for somatropin (Genotropin) in a patient with which condition?

  1. Growth failure
  2. Hypopituitarism
  3. Acromegaly
  4. Dwarfism

C. Acromegaly

4

Which is a priority nursing diagnosis for a patient receiving desmopressin (DDAVP)?

  1. Deficient knowledge regarding medication
  2. Excess fluid volume
  3. Acute pain
  4. Risk for injury

B. Excess fluid

5

The nurse is caring for a patient with diabetes insipidus (DI) who is receiving vasopressin (Pitressin). What therapeutic effect does the nurse expect from this drug?

  1. Decrease in urine output
  2. Increase in thirst
  3. Normal serum albumin level
  4. Improved skin turgor

A. Decrease in urine output

6

The nurse admitting a patient with acromegaly anticipates administering which medication?

  1. Octreotide (Sandostatin)
  2. Somatropin (Genotropin)
  3. Corticotropin (Acthar)
  4. Desmopressin (DDAVP)

A. Octreotide (Sandostatin)

7

After administering somatropin (Genotropin) to a patient, the nurse would assess for potential adverse effects of this medication by monitoring which laboratory test result?

  1. Glucose
  2. Magnesium
  3. Potassium
  4. Platelets

A. Glucose

8

A patient has developed DI after a head injury. Which medication should the nurse anticipate to be prescribed for the management of DI?

  1. Corticotrophin (Acthar)
  2. Desmopressin (DDAVP)
  3. Somatropin (Genotropin)
  4. Octreotide (Sandostatin)

B. Desmopressin (DDAVP)

9

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

  1. Nasal irritation
  2. Hyperglycemia
  3. Hypotension
  4. Headache
  5. Weight gain

A. Nasal irritation

D. Headache

E. Weight gain