Chapter 30: Pituitary Drugs Flashcards
A patient is experiencing severe diarrhea, flushing, and life-threatening hypotension associated with carcinoid crisis. The nurse will prepare to administer which drug?
a. octreotide
b. vasopressin
c. somatropin
d. cosyntropin
a. octreotide
A patient is suspected of having adrenocortical insufficiency. The nurse expects to administer which drug to aid in the diagnosis of this condition?
a. octreotide
b. vasopressin
c. somatropin
d. cosyntropin
d. cosyntropin
The nurse is reviewing the medication list for a patient who will be starting therapy with vasopressin. Which drugs, if also ordered, would raise a concern that needs to be addressed before the patient starts the vasopressin? (SATA)
a. Nonsteroidal antiinflammatory drug (NSAID)
b. Antidepressant drug
c. norepinephrine
d. fludrocortisone
e. penicillin
c. norepinephrine
d. fludrocortisone
A patient who is about to be given octreotide is also taking a diuretic, intravenous heparin, ciprofloxacin, and an opioid as needed for pain. The nurse will monitor for what possible interaction?
a. Hypokalemia due to an interaction with the diuretic
b. Decreased anticoagulation due to an interaction with the heparin
c. Prolongation of the QT interval due to an interaction with the ciprofloxacin
d. Increased sedation if the opioid is given
c. Prolongation of the QT interval due to an interaction with the ciprofloxacin
When monitoring for the therapeutic effects of intranasal desmopressin in a patient who has diabetes insipidus, which assessment finding will the nurse look for as an indication that the medication therapy is successful?
a. Increased insulin levels
b. Decreased diarrhea
c. Improved nasal patency
d. Decreased thirst
Which drugs have an action similar to that of the naturally occurring antidiuretic hormone? (Select all that apply.)
a. cosyntropin
b. desmopressin
c. somatropin
d. vasopressin
e. octreotide
b. desmopressin
d. vasopressin
The nurse is preparing to administer somatropin and will monitor the patient for which adverse effects? (Select all that apply.)
a. Increased blood pressure
b. Headache
c. Flulike syndrome
d. Nausea
e. Hyperglycemia
f. Fever
b. Headache
c. Flulike syndrome
e. hyperglycemia
The gland above and behind the pituitary gland and the optic chiasm. Both glands are suspended beneath the middle area of the bottom of the brain.
hypothalamus
A system in which the production of one hormone is controlled by the levels of a second hormone in a way that reduces the output of the first hormone. A gland produces a hormone that stimulates a second gland to produce a second hormone. In response to the increased levels of the second hormone, the source gland of the first hormone reduces production of that hormone until blood levels of the second hormone fall below a certain minimum level needed; then the cycle begins again.
negative feedback loop
A system in which the production of one hormone is controlled by the levels of a second hormone in a way that reduces the output of the first hormone. A gland produces a hormone that stimulates a second gland to produce a second hormone. In response to the increased levels of the second hormone, the source gland of the first hormone reduces production of that hormone until blood levels of the second hormone fall below a certain minimum level needed; then the cycle begins again.
negative feedback loop
An endocrine gland that is suspended beneath the brain and supplies numerous hormones that control many vital processes.
pituitary gland
When administering vasopressin, what is the priority vital sign for the nurse to monitor?
a. Temperature
b. Pulse
c. Respirations
d. Blood pressure
d. Blood pressure
A nurse is administering octreotide to a patient who has a metastatic carcinoid tumor. The patient asks about the purpose of this drug. What is the nurse’s best response?
a. “This drug helps reduce the size of your tumor.” b. “This drug works to prevent the spread of your tumor.”
c. “This drug helps control the flushing and diarrhea that you are experiencing.”
d. “This drug reduces the nausea and vomiting you are having from the chemotherapy.”
c. “This drug helps control the flushing and diarrhea that you are experiencing.”
A patient has a possible diagnosis of adrenocortical insufficiency. The nurse anticipates which drug to be used for this diagnosis?
a. Desmopressin
b. Cosyntropin
c. Octreotide
d. Somatropin
b. Cosyntropin
The nurse will instruct a patient taking desmopressin acetate as a nasal spray for the treatment of diabetes insipidus to perform which action to obtain maxi-mum benefit from the drug?
a. Clear the nasal passages before spraying the medication.
b. Blow his nose after taking the medication.
c. Take an over-the-counter preparation to control mucus if nasal congestion occurs.
d. Press on the pump once to prime it before deliv-ering the dose.
a. Clear the nasal passages before spraying the medication.
