Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 30

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Question #1
Which assessment finding indicates to the nurse that vasopressin has been effective?
A.   Increased urine specific gravity
B.   Relief of pain
C.   Increased serum albumin levels
D.   Decreased adrenocorticotropic hormone levels
Question #2
Which hormone is produced by the anterior pituitary gland?
A.   Thyroxine, Aldosterone, Thyrotropin-releasing hormone (TRH)
B.   Growth hormone (GH), Thyroid-stimulating hormone (TSH), Adrenocorticotropic hormone (ACTH)
C.   Thyroxine, Thyroid-stimulating hormone (TSH), Thyrotropin-releasing hormone (TRH)
D.   Adrenocorticotropic hormone (ACTH), Aldosterone, Thyrotropin-releasing hormone (TRH)
Question #3
Which hormone inhibits the release of growth hormone?
A.   Somatostatin
B.   Choriomammotropin
C.   Somatolactin
D.   Somatropin
Question #4
A patient has septic shock. Which drug will the nurse expect to administer?
A.   Oxytocin
B.   Vasopressin
C.   Octreotide
D.   Cosyntropin
Question #5
Which condition is contraindicated with Humatrope?
A.   Acromegaly
B.   Polydipsia
C.   Hypopituitary dwarfism
D.   Polyuria
Question #6
Which drug is used to treat pulseless cardiac arrest, according to the Advanced Cardiac Life Support (ACLS) guidelines?
A.   Vasopressin
B.   Desmopressin
C.   Somatropin
D.   Luteinizing hormone
Question #7
A patient is administered somatropin for growth improvement. Which biochemical parameter will the nurse closely monitor after administration?
A.   Uric acid level
B.   Complete blood count result
C.   Blood glucose level
D.   Creatinine clearance test
Question #8
The nurse is caring for a patient who is receiving octreotide and notes that the patient has a long QT interval on the electrocardiogram. Which drug may this patient be taking in addition to octreotide?
A.   Cyclosporine
B.   Carbamazepine
C.   Ciprofloxacin
D.   Demeclocycline
Question #9
Which drug may cause hypervolemia?
A.   Oxytocin
B.   Cosyntropin
C.   Octreotide
D.   Thyroid hormone
Question #10
Which clinical finding indicates water intoxication in the patient who is taking vasopressin?
A.   Polyuria
B.   Dehydration
C.   Headache
D.   Polydipsia
Question #11
The nurse is caring for a patient who has esophageal varices. Which drug will the nurse expect to administer to this patient?
A.   Cosyntropin
B.   Somatropin
C.   Octreotide
D.   Desmopressin
Question #12
A patient with carcinoid crisis has severe diarrhea, flushing, and life-threatening hypotension. Which drug will be prescribed to manage the patient’s condition?
A.   Desmopressin
B.   Somatropin
C.   Vasopressin
D.   Octreotide
Question #13
Which alcohol–drug interaction is the reason for the instruction to avoid alcohol when taking desmopressin?
A.   Produces an additive effect
B.   Reduces the effects of desmopressin
C.   Causes prolongation of QT interval
D.   Enhances the effects of desmopressin
Question #14
A patient is prescribed cosyntropin. Which side effect will the nurse expect?
A.   Hypotension
B.   Scar formation
C.   Edema
D.   Inflammation
Question #15
Which adverse effect is possible from octreotide therapy?
A.   Malaise, Dyspnea,
B.   Arthralgia, Hypercalciuria, Constipation
C.   Constipation, Malaise, Hypercalciuria
D.   Dyspnea, Constipation, Hypercalciuria
Question #16
Which baseline measurement does the nurse obtain before administering pituitary hormones?
A.   Liver enzyme levels, Renal function studies, Weight
B.   Liver enzyme levels, Blood glucose levels, Renal function studies
C.   Weight, Blood pressure, Blood glucose levels
D.   Renal function studies, Liver enzyme levels, Blood pressure
Question #17
Which medication, administered with vasopressin, impairs the action of vasopressin to conserve water?
A.   Carbamazepine
B.   Norepinephrine
C.   Acetaminophen
D.   Thioridazine
Question #18
Which effect is possible from drug therapy for growth hormone deficiency in children?
A.   Improved tissue-building processes, Low blood sugar levels, Retention of potassium levels
B.   Low blood sugar levels, Increased lipid mobilization, Retention of potassium levels
C.   Low blood sugar levels, Retention of potassium levels, Increased retention of sodium
D.   Increased lipid mobilization, Increased retention of sodium, Improved tissue-building processes
Question #19
Which function of somatropin is therapeutic for a patient who has human immunodeficiency virus (HIV)?
A.   Reduces fat levels
B.   Reduces weight loss
C.   Decreases growth
D.   Decreases fluid retention
Question #20
Which symptom or condition will the nurse evaluate before administering desmopressin to prevent complications?
A.   Diabetes insipidus, Seizure, Type I von Willebrand
B.   Cardiovascular disease, Diabetes insipidus, Type I von Willebrand
C.   Seizure, Asthma, Cardiovascular disease
D.   Asthma, Diabetes insipidus, Type I von Willebrand
Question #21
The nurse is caring for a child who is diagnosed with growth hormone deficiency and is receiving somatropin. Which medication may be the reason this child does not show improvement in linear growth?
A.   Ciprofloxacin
B.   Glucocorticoids
C.   Fludrocortisone
D.   Cyclosporine
Question #22
The nurse notes that a patient who has cancer is prescribed octreotide. Which condition does this medication treat?
A.   Orthostatic hypotension
B.   Hypokalemia
C.   Hyponatremia
D.   Hyperglycemia
Question #23
The primary health care provider has instructed the nurse to administer HP Acthar Gel subcutaneously. Which adverse effect of this exogenous corticotropin will the nurse anticipate in the patient?
A.   Edema
B.   Seizures
C.   Heartburn
D.   Hypoglycemia
Question #24
The nurse is caring for a patient who has vasodilatory shock. On further assessment, the nurse finds that the patient has persisting orthostatic hypotension even after the medication is administered. An interaction of which two drugs does the nurse expect for the persistence?
A.   Vasopressin and carbamazepine
B.   Vasopressin and demeclocycline
C.   Somatropin and glucocorticoids
D.   Desmopressin and carbamazepine
Question #25
Which patient had indications for treatment with somatropin?
A.   An 8-year-old with a pituitary tumor
B.   A 7-year-old diagnosed with growth hormone deficiency
C.   A 17-year-old who is 5 feet tall
D.   A 10-year-old of short stature who has severe asthma
Question #26
A patient with which condition can be safely administered somatropin?
A.   Bilateral metastatic breast cancer
B.   Human immunodeficiency virus (HIV) infection
C.   Acute bronchitis with laryngitis
D.   Cachexia and closed growth plates
Question #27
The nurse assesses a patient who has a closed head injury that has resulted in trauma to the hypothalamus. Which patient assessment finding is a clinical indicator of hypothalamic dysfunction?
A.   Loss of consciousness
B.   Watery diarrhea
C.   Oozing blood
D.   Abundant, diluted urine
Question #28
A patient with mild diabetes insipidus is prescribed vasopressin intranasal aqueous preparation. Which patient instruction does the nurse provide to ensure safe administration of the drug?
A.   "Shake the drug preparation thoroughly before use."
B.   "Inhale the drug preparation by spraying into the nostrils."
C.   "Dilute the drug preparation before administration."
D.   "Apply the drug preparation topically to the nasal membranes."
Question #29
A patient with type 1 diabetes mellitus is receiving growth hormone. Which assessment finding is the nurse’s priority?
A.   Hypertension
B.   Hypercalciuria
C.   Hyperglycemia
D.   Hypothyroidism
Question #30
Which action of the patient using intranasal desmopressin through a nasal pump needs correction during a demonstration?
A.   Pressing the pump once to spray a 10-mcg dose
B.   Priming the nasal pump once a week
C.   Replacing the cap on the pump after the procedure
D.   Pressing down on the pump two times to prime it
Question #31
A pediatric patient is prescribed somatropin. Which parameter will the nurse monitor during the follow-up visit?
A.   Skin turgor, Height, Visual acuity
B.   Weight, Skin turgor, Visual acuity
C.   Height, Weight, Motor skills
D.   Motor skills, Visual acuity, Skin turgor
Question #32
A patient with diabetes insipidus has been prescribed desmopressin. Which question will the nurse ask the patient during a follow-up visit to assess the effectiveness of treatment?
A.   "Is there any change in the color of your sputum?" "Do you have excessive bleeding due to minor injuries?"
B.   "Do you feel very thirsty lately?" "How many times do you urinate in a day?"
C.   "Do you have excessive bleeding due to minor injuries?" "Is there any change in the color of your urine?"
D.   "Is there any change in the color of your urine?" "Is there any change in the color of your sputum?"
Question #33
The nurse observes a patient self-administer desmopressin 10-mcg dose with a nasal spray pump. Which observation will result in an inaccurate dose?
A.   Inhaling the medication into the airway
B.   Storing the pump at room temperature
C.   Priming the pump each week
D.   Administering half the dose in each nostril
Question #34
Based on the data for a patient receiving desmopressin for diabetes insipidus, which conclusion would the nurse make regarding the treatment? Patient Assessment: Urine output of 35 mL/hour of clear yellow urine Elastic skin turgor Moist mucous membranes Drinks water frequently “I don’t want to get dehydrated again.” Laboratory Data: Serum sodium level 132 mEq/L
A.   The medication is not effective for this condition.
B.   A higher dose of medication is required for treatment.
C.   The patient needs to adjust fluid intake.
D.   The patient is stable and needs reassurance.
Question #35
A patient is prescribed octreotide for a tumor known as a VIPoma. Which patient cue would the nurse expect to improve with this medication?
A.   Joint pain, Fatigue
B.   Fatigue, Headache
C.   Headache, Joint pain
D.   Diarrhea, Flushing
Question #36
The nurse is assessing four patients. Which patient can be prescribed octreotide to alleviate the symptoms?
A.   Patient A: esophageal varices; type 1 diabetes
B.   Patient D: VIP; severe diarrhea and flushing; renal impairment
C.   Patient B: carcinoid tumor; taking ciprofloxacin
D.   Patient C: VIP; life-threatening hypotension; diarrhea and flushing
Question #37
An elderly patient who has diabetes insipidus is prescribed 0.2 mL desmopressin nasal spray in two divided doses. The nurse provides instructions for administering the nasal spray. Arrange the instructions in the correct order.
A.   1. Clear the nasal passages. 2. Prime the pump by pressing down four times. 3. Place the spray nozzle in the nostril. 4. Give half a spray in each nostril. 5. Replace the cap on the bottle. 6. Monitor the level of drug left in the pump.
B.   1. Clear the nasal passages. 2. Prime the pump by pressing down four times. 3. Place the spray nozzle in the nostril. 4. Replace the cap on the bottle. 5. Give half a spray in each nostril. 6. Monitor the level of drug left in the pump.
C.   1. Clear the nasal passages. 2. Prime the pump by pressing down four times. 3. Place the spray nozzle in the nostril. 4. Give half a spray in each nostril. 5. Monitor the level of drug left in the pump. 6. Replace the cap on the bottle.
D.   1. Clear the nasal passages. 2. Give half a spray in each nostril. 3. Place the spray nozzle in the nostril. 4. Prime the pump by pressing down four times. 5. Replace the cap on the bottle. 6. Monitor the level of drug left in the pump.
Question #38
A patient with which condition can safely be administered octreotide?
A.   Small-bowel fistula and having an acute asthma attack
B.   Carcinoid tumor-secreting vasoactive intestinal peptide (VIP)
C.   Acromegaly and a serum creatinine level of 5.0 mg/dL
D.   Esophageal varices and a history of type 2 diabetes
Question #39
The nurse is caring for a patient with diabetes insipidus who is receiving intravenous (IV) vasopressin. Which is the best nursing action to promote safe drug administration?
A.   Measure the patient’s urine output regularly.
B.   Assess for signs of dehydration.
C.   Watch the IV site closely for infiltration.
D.   Make a note of the fluid intake.
Question #40
Which effect is likely to occur in an adult receiving desmopressin treatment for diabetes insipidus and reports daily alcohol use?
A.   Weight gain, Edema of the extremities
B.   Elevated blood pressure, Weight gain
C.   Increased urination, Thirst
D.   Edema of the extremities, Elevated blood pressure
Question #41
The nurse prepares to administer vasopressin in a peripheral intravenous site. Which action would the nurse take as a priority assessment?
A.   Notice increase in body temperature
B.   Monitor for signs of infiltration
C.   Inquire about abdominal discomfort
D.   Assess the patient for headaches
Question #42
The nurse reviews a prescription for a child: somatropin subcutaneous 0.18 mg/kg/daily. Which action will the nurse take next?
A.   Review current laboratory values for blood glucose
B.   Calculate the dosage with the pharmacist or another nurse
C.   Obtain baseline weight and height measurements
D.   Review the frequency with the health care provider
Question #43
A 14-year-old patient is monitored for injuries after a motor vehicle accident. Which information will the nurse report to the health care provider if current medications include somatropin injections?
A.   Radiology report identifies no fracture with closed growth plates.
B.   Reports episodic muscle pain during the past year.
C.   Growth percentile has increased from the previous annual physical.
D.   Previous somatropin injection site tender to touch.
Question #44
A patient receiving octreotide for cancer treatment is prescribed ciprofloxacin after developing a urinary tract infection. Which diagnostic test is priority to review prior to administration of the ciprofloxacin?
A.   Renal panel
B.   Electrocardiogram (ECG)
C.   Liver enzymes
D.   Blood glucose
Question #45
Which patient with type 1 diabetes who is receiving a new prescription would the nurse hypothesize could be a high risk for hypoglycemia?
A.   Octreotide subcutaneous
B.   Desmopressin intravenously
C.   Vasopressin nasal spray
D.   Somatropin intramuscular
Question #46
A patient doubled the dose for vasopressin nasal spray after removal of a pituitary tumor. Which assessment finding would the nurse anticipate?
A.   Nausea, Blood glucose elevation, Headache, Low blood pressure
B.   Nausea, Blood glucose elevation, Headache, Low urine output
C.   Low blood pressure, Blood glucose elevation, Headache, Low urine output
D.   Headache, Low urine output, Low blood pressure, Nausea
Question #47
The nurse is caring for a child diagnosed with growth hormone deficiency. The nurse will instruct the child’s parents to report which symptom?
A.   Bleeding gums
B.   Limping
C.   Abdominal cramps
D.   Excessive thirst
Question #48
A patient with vasodilatory shock is prescribed vasopressin. Which action will the nurse expect to take when giving this medication?
A.   Administering the vasopressin intravenously
B.   Monitoring the patient in an intensive care unit
C.   Co-administering carbamazepine
D.   Obtaining liver and renal function tests
Question #49
A patient is administered vasopressin. Upon assessing the medical history, the nurse finds that the patient has diabetes insipidus. Which action will the nurse take?
A.   Encourage vigorous exercise.
B.   Monitor blood glucose levels closely.
C.   Evaluate the patient for limping.
D.   Monitor fluid status.
Question #50
The nurse instructs a nursing student to administer vasopressin to a patient. The student observes visible particles in the vasopressin solution and notifies the nurse. Which instruction will the nurse give the student to ensure safe administration?
A.   "Shake the medication before administration."
B.   "Heat the medicine before administration."
C.   "Do not administer the drug to the patient."
D.   "Keep the bottle in warm water before administration."
Question #51
A provider prescribes octreotide to treat the symptoms of a patient diagnosed with carcinoid tumors. Which adverse effect will the nurse instruct the patient to report immediately?
A.   Drowsiness
B.   Vertigo
C.   Abdominal stress
D.   Bleeding gums
Question #52
The primary health care provider is closely monitoring glucose and calcium levels in a patient, along with thyroid function and motor skills. Which drug is this patient receiving?
A.   Somatropin
B.   Desmopressin
C.   Vasopressin
D.   Cosyntropin
Question #53
During an assessment, a patient asks the nurse, "What should I do if I miss two or three doses of thyroid replacement drug in a row?" Which response would be given by the nurse?
A.   "If it is almost time for your next dose, take a double dose of the drug at that time."
B.   "Skip the missed dose and resume your usual dosage schedule."
C.   "You can take the dose immediately when you remember it."
D.   "You should consult your primary health care provider immediately."
Question #54
A patient who has undergone organ transplantation shows symptoms of organ rejection despite taking cyclosporine. Which drug would the nurse check for in the medication history of the patient?
A.   Octreotide
B.   Somatropin
C.   Vasopressin
D.   Desmopressin
Question #55
The nurse admitting a patient with acromegaly anticipates administering which medication?
A.   Octreotide
B.   Somatropin
C.   Desmopressin
D.   Corticotropin

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