N4 Pharm quiz Pituitary Agents

Lilley: Pharmacology and the Nursing Process, 4th Edition
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1. Somatrem (Protropin) is contraindicated in patients with:
A. Acromegaly
B. Dwarfism
C. Hypopituitarism
D. Addison's disease

2. A priority nursing diagnosis for a patient receiving desmopressin (DDAVP) would be:
A. Potential for injury
B. Alteration in comfort
C. Alteration in fluid volume
D. Knowledge deficit

3. When teaching a patient regarding the correct administration of desmopressin (DDAVP), the nurse would include:
A. "Weigh yourself daily and take if you gain more than 1 pound per day."
B. "Rotate nostrils daily to prevent irritation."
C. "Take in the morning to prevent nocturia."
D. "The dose is based upon your chemstick results."

4. The nurse would assess the therapeutic effectiveness of vasopressin by monitoring:
A. Serum albumin levels
B. Urine specific gravity
C. Adrenocorticotropic hormone (ACTH) levels
D. Relief of pain

5. The nurse admitting a patient with acromegaly anticipates administering which of the following medications?
A. desmopressin (DDAVP)
B. corticotropin (Acthar)
C. somatropin (Nutropin)
D. octreotide (Sandostatin)

6. After administering corticotropin, the nurse would assess for side effects by monitoring: (choose all that apply)
A. Serum sodium levels
B. Intake and output
C. Peripheral edema
D. Glucose levels