Chapter 35: Hypothalamic and Pituitary Agents

A patient is experiencing a prolonged labor and her contractions are ineffective. Which agent would the nurse expect to be ordered?

Oxytocin

A client is diagnosed with diabetes insipidus. The health care provider orders desmopressin, which the nurse knows is the synthetic equivalent of what hormone?

ADH

Pegvisomant is used to treat which disorder?

Acromegaly

The nurse is aware that somatropin is not appropriate for the person who exhibits growth impairment and what other condition?

Closure of the epiphyseal plate

Which would be used to diagnose adrenal function?

Corticotropin

After administering desmopressin to a client with diabetes insipidus, which would the nurse identify as indicating drug effectiveness?

Decreased reports of thirst

Accelerated growth from hypersecretion of growth hormone that occurs before the epiphyseal plates of the long bones fuse produces ____________________.

Gigantism

Which agent would the nurse identify as a growth hormone agonist?

Somatropin

What causes the release of adrenocorticotropic hormone in response to a client's psychological and physiological stress?

corticotropin-releasing hormone or factor (CRH or CRF)

Drugs administered to influence hypothalamic hormones typically have half-lives of:

days to weeks.

What is the regulatory function of vasopressin?

water balance

A client has been prescribed a daily dose of 7.5 mg of bromocriptine mesylate for dizziness. The available drug is in the form of 2.5-mg tablets. How many tablets will be administered to the client to meet the recommended course for 4 days?

12

2 ___________ stimulates the release of growth hormone by the pituitary gland.

Tesamorelin

A client has been newly diagnosed with acromegaly. Which medication would the nurse expect the health care provider to prescribe?

Octreotide

What is the route of administration for bromocriptine?

Oral

What does release of antidiuretic hormone (ADH) cause?

Reabsorption of water

In what way does concomitant use of opioids affect a patient's dosage of pegvisomant?

The patient may require a higher dose of pegvisomant.

A nurse is organizing the care of a child who takes somatropin. The desired outcome the nurse should prioritize in the planning of this child's care is that the client will:

demonstrate an increase in linear growth.

The health care provider has prescribed growth hormone for a 12-year-old boy with growth impairment. The boy's parents should be instructed to contact the provider if they notice which signs in their son?

Any of the above

The nurse is providing discharge instructions to a client who will be self-administering octreotide for treatment of acromegaly. The nurse instructs the client to schedule which follow-up/diagnostic tests while on octreotide? (Select all that apply.)

Blood glucose Ultrasound of the gallbladder for gallbladder stones

9 _________ is responsible for stimulating the many processes that are required for normal growth.

Growth hormone

What is the most likely goal for oxytocin therapy?

Induce uterine contractions.

The nursing class is studying family nursing. What hormone would the instructor tell the students plays a part in milk production?

Prolactin

The ICU nurse is assessing a client who has been given desmopressin for treatment of diabetes insipidus. What lab values should the nurse prioritize during assessment?

Sodium

The preparation of recombinant DNA-produced human growth hormone used to treat children with growth failure from a lack of growth hormone is called ________________.

Somatropin (Saizen)

________________ is used in addition to radioactive ablation in patients who have a well-differentiated thyroid cancer.

Thyrotropin alpha

4SIADH, or syndrome of inappropriate antidiuretic hormone, is caused by an insufficient secretion of ADH from the posterior pituitary gland.

:FALSE

A client is to undergo fertility treatment and is to receive an agent that induces ovulation because her ovaries are functioning. Which agent would this most likely be?

Chorionic gonadotropin

The nurse is assessing a child who is receiving growth hormone therapy. What would the nurse identify as suggesting glucose intolerance?

Thirst

A head injury has resulted in the hospitalization of a client. Nursing assessments confirm that the client is producing substantial amounts of dilute urine and is consuming large amounts of liquids. Considering the history and assessment findings support the possibility of what metabolic disorder?

Diabetes insipidus (DI)

The pediatric nurse understands that growth hormone (GH) deficiency can cause which disorder?

Dwarfism

A client is diagnosed with syndrome of inappropriate antidiuretichormone (SIADH) and has been prescribed a medication to affect the posterior pituitary gland's production of antidiuretic hormone (ADH). Which nursing assessment is critical to this client's safety?

Fluid balance

The nurse would contact the health care provider prior to administering desmopressin to a client with a history of what condition?

Heart attack

A male client is prescribed GH. He also takes a medication to control his type 2 diabetes. The nurse understands that GH can cause what condition?

Hyperinsulinemia

The anatomy and physiology instructor is discussing hormones with the pre-nursing class. Which gland would the instructor tell the students controls secretions of the pituitary gland?

Hypothalamus

The nurse would administer what to a client in labor to improve her uterine contractions?

Oxytocin

A client being treated with desmopressin exhibits confusion and drowsiness, and reports a headache. What is the nurse's best action?

Take the client's vital signs.

After having developed a pituitary tumor that is affecting the secretion of growth hormone (GH), which client will require especially cautious treatment with a growth hormone antagonist?

The client diagnosed with diabetes

A 13-year-old boy who is in the first percentile of height for his age has been referred for care. Which assessment finding would contraindicate the safe and effective use of somatropin to treat his growth deficiency?

The epiphyses of the boy's long bones have closed.

What is the most effective method to determine a client's ability to self-administer their prescribed nasal desmopressin?

Watch them administer a scheduled dose of the medication.

When describing desmopressin to a group of students, the instructor explains that it is a synthetic form of:

antidiuretic hormone.

A critically ill client is being treated with desmopressin. When reviewing the diagnostic and laboratory findings of a client prescribed desmopressin, the nurse should prioritize what values? Select all that apply.

sodium (Na) potassium (K)

Which hormones are responsible for the growth of the body during childhood, especially the growth of muscles and bones?

somatotropin

Which needs to be used in a child prior to the closure of the bone epiphyses in order to exert its effects?

somatropin