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.”
