Pituitary Drugs

Question 1

The nurse is administering vasopressin to a patient. Which of the following vital signs would be a priority for the nurse to monitor?
a) temperature
b) pulse
c) respirations
d) BP

Answer 1

d) BP

Question 2

A nurse is administering octreotide (Sandostatin) to a patient who has a metastatic carcinoid tumour. The patient asks about the purpose of this drug. Which statement best responds to the patients concern?
a) this drug helps to reduce the size of your tumor
b) this drug works to prevent the spread of your tumour
c) octreotide is given to reduce the nausea and vomiting you are having from the chemo
d) this drug helps to control the flushing and diarrhea that you are experiencing

Answer 2

d) this drug helps to control the flushing and diarrhea that you are experiencing

Question 3

Which nursing diagnosis is most appropriate for a patient who is receiving pituitary drugs?
a) constipation
b) disturbed body image
c) impaired physical mobility
d) impaired skin integrity

Answer 3

b) disturbed body image

Question 4

The nurse is providing discharge teaching to a patient who has been prescribed desmopressin spray for the treatment of diabetes. Which of the following instructions would be most important to include in the teaching? select all
a) clear the nasal passages before spraying the drug
b) clear the nasal passages after spraying the drug
c) take an over the counter preparation to control mucus production
d) administer the nasal spray at the same time every day

Answer 4

a, d

Question 5

During assessment, the nurse discovers that a patient on corticotropin therapy is experiencing tremors and slightly tetany. Which of the following findings would the nurse suspect the patient has developed?
a) hypokalemia
b) hyperkalemia
c) hypocalcemia
d) hypercalcemia

Answer 5

c) hypocalcemia

Question 6

A patient is receiving octreotide therapy. Which of the following would be most important for the nurse to monitor during the treatment?
a) blood glucose levels
b) pulse
c) weight
d) serum potassium

Answer 6

a) blood glucose levels

Question 7

A patient is experiencing severe diarrhea, flushing, and life threatening hypotension associated with carcinoid crisis. Which of the following drugs will the nurse anticipate administering to the patient?
a) octreotide (Sandostatin)
b) vasopressin
c) somatropin
d) cosyntropin

Answer 7

a) octreotide (Sandostatin)

Question 8

A patient is suspected of having adrenocortical insufficiency, which of the following drugs will the nurse expect to administer?
a) octreotide
b) vasopressin
c) somatropin
d) cosyntropin

Answer 8

d) cosyntropin

Question 9

The nurse is reviewing the medication list for a patient who will be starting therapy with somatropin. Which of the following medications would the nurse follow up with the HC provider?
a) NSAIDS
b) antidepressants
c) penicillin
d) glucocorticoid

Answer 9

d) glucocorticoid

Question 10

The nurse is caring for a patient receiving intranasal desmopressin in a patient with diabetes. Which of the following assessments would the nurse make to determine effectiveness of the medication?
a) increased insulin levels
b) decreased diarrhea
c) improved nasal patency
d) decreased thirst

Answer 10

c) improved nasal patency

Question 11

Which of the following drugs have an action similar to that of the naturally occuring hormone ADH. select all
a) cosyntropin
b) desmopressin
c) somatropin
d) vasopressin
e) octreotide

Answer 11

d) vasopressin