ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 30 : Pituitary Drugs Questions
Question 1 of 5
A patient is about to receive a dose of octreotide. The nurse will assess for which contraindications or cautions? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Octreotide requires caution in patients with type 1 or 2 diabetes, gallbladder disease, or chronic renal failure due to potential effects on glucose metabolism, gallbladder function, and renal clearance. Carcinoid crisis, diarrhea, and esophageal varices are indications for octreotide use.
Question 2 of 5
Which of these hormones are secreted by the anterior pituitary gland? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The anterior pituitary secretes thyroid-stimulating hormone, growth hormone, and adrenocorticotropic hormone. Antidiuretic hormone and oxytocin are secreted by the posterior pituitary gland.
Question 3 of 5
A patient is to receive vasopressin 5 units SUBQ twice a day. The medication is available in a vial that contains 20 units/mL. Identify how many milliliters the nurse will draw up for this dose. (record answer using two decimal places)
Correct Answer: 0.25 mL
Rationale:
To calculate: 20 units/1 mL = 5 units/x mL. Cross-multiply: (20 * x) = (1 * 5); 20x = 5; x = 5/20 = 0.25 mL.
Question 4 of 5
The nurse notes in a patient's medication history that the patient has been taking desmopressin. Based on this finding, the nurse interprets that the patient has which disorder?
Correct Answer: B
Rationale: Desmopressin, a synthetic antidiuretic hormone, is used to treat diabetes insipidus by reducing excessive thirst and urination caused by deficient endogenous antidiuretic hormone. It is not indicated for diabetes mellitus, adrenocortical insufficiency, or carcinoid tumors.
Question 5 of 5
A 16-year-old boy who is taking somatropin comes into the office because he had an asthma attack during a race at school. Because of this new development, the nurse expects which intervention to occur next?
Correct Answer: C
Rationale: Somatropin should be used cautiously in patients with acute or chronic illnesses like asthma, often requiring dosage adjustments to balance risks and benefits. Immediate discontinuation is not necessary, and growth monitoring is routine but not the primary intervention.