****Ch 30 - NCLEX Questions Nur Pharm
After administering SOMATROPIN to a patient, the nurse would assess for potential adverse effects of this medication by monitoring which laboratory test result? A. Glucose (hyperglycemia/hypoglycemia) B. Platelets C. Potassium D. Magnesium
A. Glucose Hyperglycemia and hypoglycemia are potential adverse effects of somatropin therapy.
When teaching a patient the adverse effects of Vasopressin, the nurse will instruct the patient to monitor for which potential adverse effects? (Select all that apply.) A. Headache B. Weight gain C. Hypotension D. Nasal irritation D. Hyperglycemia
A. Headache B. Weight gain D. Nasal irritation Vasopressin decreases urine output; thus, the patient could retain fluid and gain weight. Other adverse effects: increased blood pressure, fever, headache, abdominal cramps, and nausea. Administered intranasally so it can be irritating. Nostrils should be rotated.
The nurse would question a prescription for SOMATROPIN in a patient with which condition? A. Dwarfism B. Acromegaly C. Growth failure D. Hypopituitarism
B. Acromegaly Somatropin is a synthetic form of human growth hormone. Acromegaly is caused by excessive growth hormone, and thus this drug would be contraindicated.
The nurse is caring for a patient with diabetes insipidus (DI) who is receiving vasopressin (Pitressin). What therapeutic effect does the nurse expect from this drug? A. Increase in thirst B. Improved skin turgor C. Decrease in urine output D. Normal serum albumin level
C. Decrease in urine output Vasopressin increases the water reabsorption in the kidneys, thus decreasing urine output. It is used to treat DI, which presents with polydipsia, polyuria, and dehydration.
Which is a priority nursing diagnosis for a patient receiving Vasopressin? A. Risk for injury B. Acute pain C. Excess fluid volume D. Deficient knowledge regarding medication
C. Excess fluid volume Vasoopressin is a form of antidiuretic hormone, which increases sodium and water retention, leading to an increase in fluid volume.
The nurse admitting a patient with ACROMEGALY anticipates administering which medication? A. Corticotropin (Acthar) B. Desmopressin (DDAVP) C. Octreotide (Sandostatin) D. Somatropin (Genotropin)
C. OCREOTIDE (Sandostatin) Octreotide suppresses growth hormone, the culprit of acromegaly.
A patient has developed DIABETES INSIPIDUS after a head injury. Which medication should the nurse anticipate to be prescribed for the management of DI? A. Corticotrophin (Acthar) B. Octreotide (Sandostatin) C. Somatropin (Genotropin) D. VASOPRESSIN
D. VASOPRESSIN Vasopressin (Pitressin) is used to control polydipsia (excessive thirst), polyuria, and dehydration in patients with DI caused by a deficiency of endogenous antidiuretic hormone.
