Week 9 sherpath Flashcards
In addition to treating primary growth failure, somatropin has therapeutic uses in which situations?
Select all that apply.
Growth failure caused by chronic renal failure
Cachexia or wasting with AIDS
Growth failure caused by thyroid hormone deficiency
In cases in which an antiaging drug is desired
Muscle building and athletic performance enhancement
Growth enhancement in children with Turner syndrome
Growth failure caused by chronic renal failure
Cachexia or wasting with AIDS
Growth enhancement in children with Turner syndrome
Which phrase describes the action of desmopressin?
Increases water reabsorption in kidney collecting ducts
Regulates blood pressure by direct vasodilation
Promotes elimination of sodium and water
Increases thirst and promotes intake of water
Increases water reabsorption in kidney collecting ducts
The nurse administers intravenous desmopressin at 0730. During which time frame would the nurse anticipate giving another dosage of this drug?
0830 to 1030
1000 to 1200
1530 to 1930
0730 the next day
1530 to 1930
Which phase describes the action of octreotide drug therapy?
Inhibits growth hormone release
Normalizes urine output
Promotes normal blood pressure
Mimics action of growth hormones
Inhibits growth hormone release
Which phrase describes the therapeutic goal in using octreotide to treat acromegaly?
To control acromegaly symptoms
To cure this health alteration
To reverse the disease process
To prepare the person for surgery
To control acromegaly symptoms
Octreotide should be used with caution in patients with which disorders?
Select all that apply.
Asthma
Heart failure
Thyroid deficiency
Hepatic impairment
Psychiatric disorders
Chronic kidney disease
Heart failure
Hepatic impairment
Chronic kidney disease
A child is receiving somatropin for growth failure. During follow-up visits, which data would the nurse monitor?
Select all that apply.
Blood glucose level for hypoglycemia
Serial changes in height and weight chart
Blood calcium levels for hypocalcemia
Presence of antirecombinant human growth hormone (anti-rhGH) antibodies
Thyroid levels for hypothyroidism
Side effects of therapy reported by family.
Serial changes in height and weight chart
Presence of antirecombinant human growth hormone (anti-rhGH) antibodies
Thyroid levels for hypothyroidism
Side effects of therapy reported by family.
Octreotide is prescribed to a patient newly diagnosed with acromegaly. When reviewing current medications taken by the patient, the nurse is aware that octreotide could decrease the action of which drugs?
Ibuprofen, a nonsteroidal antiinflammatory drug
Omeprazole, an H2 receptor antagonist
Metformin, a non-insulin antidiabetic drug
Loratadine, an antihistamine for allergies
Metformin, a non-insulin antidiabetic drug
In the pediatric clinic, a child is receiving growth hormone (GH). The adolescent sibling asks about receiving the same medication. He would like to play basketball but is too short. How should the nurse respond?
“We’ll need to draw labs first to see if you need growth hormones.”
“That is a possibility, but you need to see the health care provider.”
“Growth hormones may not help your height and have side effects.”
“You have stopped growing and can’t take growth hormone.”
“You have stopped growing and can’t take growth hormone.”
The spouse of a patient receiving desmopressin calls the clinic to report that her husband is not feeling well and is nauseated and confused. Which action would the nurse take?
Reassure the spouse that these symptoms are temporary and should resolve soon.
Instruct the spouse to bring the patient to the clinic for further evaluation.
Tell the spouse to hold the medication for a day and then resume therapy.
Encourage spouse to have the patient drink orange juice or an electrolyte solution and rest.
Instruct the spouse to bring the patient to the clinic for further evaluation.
Which description of the therapeutic use of hydrocortisone in Addison’s disease is accurate?
As an antiinflammatory agent
To modulate allergic response
As replacement cortisol therapy
To promote immunosuppression
As replacement cortisol therapy
Fludrocortisone is sometimes used with hydrocortisone as therapy for Addison’s disease. Which rationale for the addition of fludrocortisone is accurate?
Manage fluid and electrolyte balance
Facilitate elimination of excessive fluid
Promote immunosuppression
Regulate the body’s glucose balance
Manage fluid and electrolyte balance
Which action describes how fludrocortisone raises the blood pressure in persons with Addison’s disease?
Acts as a pressor on blood vessels
Increases sodium elimination
Increases thirst and water intake
Decrease cortisol levels in the blood
Acts as a pressor on blood vessels
Which phrase describes the action of metyrapone drug therapy in a patient with Cushing’s disease?
Regulates and normalizes blood glucose levels
Suppresses adrenocorticotropic hormone (ACTH) production to lower cortisol levels
Treats headaches associated with Cushing’s disease
Blocks process of cholesterol conversion to cortisol
Blocks process of cholesterol conversion to cortisol
Which statement made by Ms. Sanders indicates a good understanding of the adverse effects of hydrocortisone and fludrocortisone therapy?
“As my condition improves, I can decrease my dose.”
“These medicines have very few side effects when used as directed.”
“I must have my blood checked regularly to assess for side effects of my medication.”
“I must have my cholesterol checked regularly to assess for side effects of my medication.”
“I must have my blood checked regularly to assess for side effects of my medication.”
Which changes in laboratory values can occur while taking fludrocortisone?
Hypoglycemia
Hyponatremia
Hypokalemia
Hypocalcemia
Hypokalemia
A patient taking hydrocortisone therapy reports muscle twitching and cramps. Which intervention would the nurse take?
Obtain calcium level.
Obtain potassium level.
Assess for symptoms of withdrawal.
Ask when drug was last taken.
Obtain calcium level.
Which statement by the patient indicates an understanding of taking hydrocortisone as replacement therapy for Addison’s disease?
“I must take this medication on a daily basis as instructed.”
“This medication is intended to cure my Addison’s disease over time.
“My health care provider will taper my dose over 1 to 2 weeks before stopping it completely.”
“My health care provider will allow me to stop taking the medicine as soon as I feel better.”
“I must take this medication on a daily basis as instructed.”
A patient with type 1 diabetes has a new prescription for hydrocortisone. Which education should the nurse provide to this patient?
“If you have a sudden increase in weight, try to limit your fluids for a couple of days.”
“Contact the health care provider if you are going to have surgery so your medications can be withheld.”
“If your baseline bone density test was normal, then you do not have to be concerned about osteoporosis related to hydrocortisone therapy.”
“The insulin drug dosage to manage your diabetes may need to be increased since hydrocortisone can raise your blood glucose levels.”
“The insulin drug dosage to manage your diabetes may need to be increased since hydrocortisone can raise your blood glucose levels.”
Hydrocortisone is a synthetic steroid with a structure identical to which hormone?
Insulin
Cortisol
Androgens
Mineralocorticoids
Cortisol
The nurse is administering pasiriotide to a patient with Cushing’s disease secondary to a pituitary tumor. Which phrase describes the rationale for using this drug?
To decrease inflammation before surgery
To shrink the pituitary tumor
To block production of adrenocorticotropic hormone (ACTH)
To increase retention of sodium
To block production of adrenocorticotropic hormone (ACTH)
A patient is admitted to the emergency department with acute adrenal crisis. Which drug would the nurse anticipate administering?
Fludrocortisone
Pasireotide
Hydrocortisone
Metyrapone
Hydrocortisone
When teaching a patient about the most common side effects of hydrocortisone, which information would the nurse include?
Select all that apply.
Heartburn or indigestion
Insomnia and mood swings
Increased bone pain
Delayed wound healing
Nasal congestion and cough
Increased bruising
Heartburn or indigestion
Insomnia and mood swings
Delayed wound healing
Which concerns would the nurse address when teaching patients about long-term hydrocortisone therapy for Addison’s disease?
Select all that apply.
Potential infections
Drug interactions
Weekly blood draws
Medication compliance
Significant diet restrictions
Potential infections
Drug interactions
Medication compliance
A female patient with Addison’s disease has started taking fludrocortisone in addition to hydrocortisone. She calls the clinical nurse to report feet swelling and a headache. Which action should the nurse take?
Reassure the patient that this is an expected response to drug.
Encourage the patient to rest with feet elevated for about an hour.
Instruct the patient to come to the clinic for further evaluation.
Advise the patient to hold the drug and wait 24 hours before resuming.
Instruct the patient to come to the clinic for further evaluation.
A patient with Addison’s disease is upset about weight gain and wants to stop taking hydrocortisone and fludrocortisone. Which response would the nurse make?
“Weight gain is a side effect of the medication. You may need to seek counseling.”
“It is fine to stop taking your medicine as long as you carefully monitor your glucose levels.”
“If you stop taking the medications, you may have severe side effects.”
“Begin to taper your dosage and check with your health care provider about an exercise program that you can begin.”
“If you stop taking the medications, you may have severe side effects.”
Which foods would the nurse advise patients on long-term fludrocortisone for Addison’s disease to include in their diet?
Foods rich in potassium
Foods high in vitamin C
Foods that are sugar-free
Foods low in calcium and vitamin D
Foods rich in potassium
Hydrocortisone is prescribed to a patient newly diagnosed with Addison’s disease. When reviewing current medications taken by the patient, the nurse is aware that hydrocortisone could increase the action of which drugs?
Select all that apply.
Ibuprofen, a nonsteroidal antiinflammatory drug, for pain
Omeprazole, an H2 receptor antagonist
Alendronate, a bisphosphonate, for osteoporosis
Metformin, an antidiabetic drug
Simvastatin, a statin or HMG CoA reductase inhibitor, for hyperlipidemia
Furosemide, a loop diuretic
Ibuprofen, a nonsteroidal antiinflammatory drug, for pain
Metformin, an antidiabetic drug
Furosemide, a loop diuretic