Chapter 35
D
A 4-year-old is tested and found to have deficient growth hormone (GH). What does this condition cause? A) Gigantism B) Acromegaly C) Syndrome of inappropriate antidiuretic hormone (SIADH) D) Dwarfism
B
A 48-year-old patient with acromegaly is not a candidate for other therapy. What medication, administered subcutaneously, would the nurse caring for the patient expect the physician to order? A) Gonadorelin hydrochloride (Factrel) B) Octreotide (Sandostatin) C) Nafarelin (Synarel) D) Gonadorelin acetate (Lutrepulse)
A
A child weighing 14.5 kg has von Willebrands disease. How much desmopressin (DDAVP) should be administered? A) 4.4 mcg B) 9.6 mcg C) 10.3 mcg D) 21.1 mcg
B
A nurse is working at a fertility clinic. Today she is administering ganirelix acetate (Antagon) to a woman participating in a fertility research program. By what route is this drug administered? A) Orally B) Subcutaneously C) Intramuscularly D) IV
C
A patient is brought to the emergency department after a motor vehicle accident. The patient is hemorrhaging, indicating that which hormone is being secreted to restore blood volume? A) Growth hormone (GH) B) Follicle-stimulating hormone (FSH) C) Antidiuretic hormone (ADH) D) Adrenocorticotropic hormone (ACTH)
C
A patient is taking leuprolide (Lupron) to treat prostatic cancer. The nurse caring for this patient is careful to monitor for what? A) Diarrhea B) Urinary retention C) Peripheral edema D) Increased appetite
A
A patient suspected of having Cushings disease comes to the clinic. What drug might the nurse administer to test for adrenal function and responsiveness? A) Corticotropin B) Menotropins C) Thyrotropin alfa D) Chorionic gonadotropin
D
A patient with diabetes insipidus is taking desmopressin (DDAVP). He or she is complaining of drowsiness, lightheadedness, and headache. What does the nurse suspect that he is experiencing? A) An allergic reaction B) Dehydration C) Depression D) Water intoxication
C
After administering somatropin (Saizen) to an 11-year-old patient with growth failure, what outcome would indicate that the drug should be stopped? A) Early sexual development B) Thyroid overactivity C) Closure of the epiphyses in long bones D) Gynecomastia
A, D, E
For what purposes might the nurse administer a hypothalamic hormone? (Select all that apply.) A) Diagnostic testing B) Synthesis of growth factors C) Prevent aging D) Treating some forms of cancer E) Adjuncts in fertility programs
B
The mother of a child awaiting a renal transplant asks the nurse whether growth hormone could be effective for her child. What is the nurses best response? A) Growth hormone is only used to treat short stature in children who do not produce enough growth hormone naturally. B) Growth hormone has been used successfully in children with renal failure but there is a lot to consider and you should talk to the doctor about it. C) Administration of growth hormone requires frequent injections so it would be cruel for a child with existing medical problems. D) You do not want to use growth hormone if you do not have to. What would make you even think of something like that?
A
The nurse administers desmopressin (DDAVP) to the patient to treat diabetes insipidus. What assessment finding would indicate to the nurse that the desmopressin is producing a therapeutic effect? A) Decreased urine output B) Decreased water reabsorption C) Increased plasma osmolarity D) Decreased blood volume
A
The nurse administers desmopressin to treat a patient with diabetes insipidus. Assessment of what laboratory studies would indicate the drug is working? A) Increased serum sodium levels B) Increased red blood cell count C) Decreased urine specific gravity D) Reduced urine glucose levels
D
The nurse administers somatropin to a child with impaired growth due to a deficiency of endogenous growth hormone during what period of growth and development? A) Before the start of elementary school B) Any time before age 18 C) Before the child reaches 5 feet in height D) Before epiphyses close
C
The nurse explains the role of the posterior pituitary gland is to do what? A) It synthesizes different hormones. B) It makes two hormones. C) It stores hormones. D) It controls most of the metabolic functions of the body.
C
The nurse has been caring for a child who has been receiving growth hormone therapy for several years. When the child returns for evaluation following a sudden growth spurt, what nursing diagnosis will the nurse add to the plan of care? A) Disturbed body image B) Deficient knowledge regarding drug therapy C) Imbalanced nutrition: Less than body requirements related to metabolic changes D) Risk for disproportionate growth
D
The nurse is asked to explain how to administer somatropin (Saizen) to the mother of a 6-year-old. How would the nurse explain how this drug is administered? A) It requires only a very small needle and doesnt hurt much at all. B) There will no longer be any need to rotate sites because it uses a needleless system. C) This system will be used until your son gets older and is more tolerant of needles. D) This delivers a fine mist through the skin without needles and far less discomfort.
B
The nurse is caring for a 25-year-old female patient who is receiving chorionic gonadotropin alfa. What would be an appropriate nursing diagnosis for this patient? A) Anxiety related to injection of medication B) Acute pain related to need for injections C) Imbalanced nutrition: More than body requirements D) Evaluate effectiveness of the teaching plan
A
The nurse is caring for a patient diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) which the nurse recognizes is caused by what? A) Excessive secretion of antidiuretic hormone (ADH) B) Insufficient secretion of ADH C) Excessive secretion of androgens D) Insufficient secretion of antidepressants
C
The nurse is caring for a patient receiving tolvaptan and digoxin. What drugdrug interaction will the nurse assess for when reviewing this patients laboratory results? A) Elevated serum sodium levels B) Reduced digoxin levels C) Elevated serum potassium levels D) Tolvaptan toxicity
A, B, C
The nurse is caring for a patient who has been receiving long-term growth hormone treatment to stimulate growth. What diagnostic testing would the nurse expect to see ordered as a standard part of the treatment plan? (Select all that apply.) A) Blood sugar level B) Serum electrolytes C) X-ray of the long-bones D) Nasal examination E) Bone density studies
A
The nurse is caring for a patient with infertility related to hyperprolactinemia. What drug would the nurse recognize was ordered to treat this problem? A) Bromocriptine mesylate B) Somatropin C) Leuprolide D) Desmopressin
B
The nurse is caring for a patient with neurogenic diabetes insipidus and administers what drug to treat the condition? A) Dexamethasone (Decadron) B) Desmopressin (DDAVP, Stimate) C) Methylprednisolone (Solu-Medrol) D) Physostigmine (Antilirium)
A
The nurse receives an order to administer leuprolide 5 mcg/kg subcutaneously to a child with precocious puberty. The child weighs 30 kg. What is the correct dosage for this child? A) 150 mcg B) 6 mcg C) 68 mcg D) 330 mcg
B
The nurse transcribes an order for menotropin (Pergonal), which will be administered to have what effect? A) Promote development of secondary sex characteristics B) Induce ovulation C) Promote bone growth D) Treat diabetes insipidus
A, B, E
The nurse would administer desmopressin (DDAVP) cautiously, with careful monitoring, to the patient with what co-morbidity? (Select all that apply.) A) Hyponatremia B) Asthma C) Severe renal dysfunction D) Gastrointestinal (GI) disease E) Epilepsy
A
The nurse would teach a patient receiving octreotide for acromegaly of the importance of baseline and periodic what? A) Ultrasound evaluation of the gallbladder B) Magnetic resonance imaging (MRI) of the brain C) Serum glucose levels D) Complete blood counts
B
What drug would the nurse expect to administer to an AIDS patient with cachexia? A) Bromocriptine (Parlodel) B) Somatropin (Saizen) C) Desmopressin (DDAVP) D) Leuprolide (Lupron)
A
What hormone does the posterior pituitary gland store and release? A) Antidiuretic hormone (ADH) B) Follicle-stimulating hormone (FSH) C) Growth hormone (GH) D) Thyroid stimulating hormone (TSH)
A
What is the nurses priority assessment when administering hypothalamic or pituitary agents to older adults? A) Hydration and nutrition B) Balance and fall risk C) Cognitive function D) Urinary incontinence
A
What is the purpose of releasing hormones secreted by the hypothalamus? A) Stimulating or inhibiting release of hormones from the pituitary B) Stimulating organs within the body to secrete hormones C) Allowing the secretion of hormones from the hypothalamus D) Stimulating other glands to release hormones
A
What medication would the nurse expect the physician to prescribe as palliative treatment for advanced prostate cancer? A) Histrelin (Vantas) B) Ganirelix (Antagon) C) Nafarelin (Synarel) D) Somatropin (Nutropin)
A
What symptoms will the nurse instruct the patient taking octreotide (Sandostatin) to report to the health care provider? A) Abdominal pain B) Alteration in consciousness C) Changes in vision D) Muscle cramps
A
When providing patient teaching to the family of a 12-year-old child receiving Somatropin, the nurse stresses the need to notify prescriber if what manifestation occurs? A) Severe hip or knee pain B) Development of a bruise C) Severe hypertension D) Tachycardia
