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In addition to treating primary growth failure, somatropin has therapeutic uses
in which situations? Select all that apply.
A - Growth failure caused by chronic renal failure
B - Cachexia or wasting with AIDS
C - Growth failure caused by thyroid hormone deficiency
D - In cases in which an antiaging drug is desired
E - Muscle building and athletic performance enhancement
F - Growth enhancement in children with Turner syndrome - CORRECT
ANSWER - Growth failure caused by chronic renal failure
Cachexia or wasting with AIDS
Growth enhancement in children with Turner syndrome
The nurse administers intravenous desmopressin at 0730. During which time
frame would the nurse anticipate giving another dosage of this drug?
0830 to 1030
1000 to 1200
1530 to 1930
0730 the next day - CORRECT ANSWER - 1530 to 1930
Octreotide should be used with caution in patients with which disorders? Select
all that apply.
,Asthma
Heart failure
Thyroid deficiency
Hepatic impairment
Psychiatric disorders
Chronic kidney disease - CORRECT ANSWER - Heart Failure
Hepatic Impairment
Chronic kidney disease
A child is receiving somatropin for growth failure. During follow-up visits,
which data would the nurse monitor? Select all that apply.
Blood glucose level for hypoglycemia
Serial changes in height and weight chart
Blood calcium levels for hypocalcemia
Presence of antirecombinant human growth hormone (anti-rhGH) antibodies
Thyroid levels for hypothyroidism
Side effects of therapy reported by family. - CORRECT ANSWER - Serial
changes in height and weight chart
Presence of antirecombinant human growth hormone (anti-rhGH) antibodies
Thyroid levels for hypothyroidism
Side effects of therapy reported by family.
,In the pediatric clinic, a child is receiving growth hormone (GH). The
adolescent sibling asks about receiving the same medication. He would like to
play basketball but is too short. How should the nurse respond?
"We'll need to draw labs first to see if you need growth hormones."
"That is a possibility, but you need to see the health care provider."
"Growth hormones may not help your height and have side effects."
"You have stopped growing and can't take growth hormone." - CORRECT
ANSWER - "You have stopped growing and can't take growth hormone."
The spouse of a patient receiving desmopressin calls the clinic to report that her
husband is not feeling well and is nauseated and confused. Which action would
the nurse take?
Reassure the spouse that these symptoms are temporary and should resolve
soon.
Instruct the spouse to bring the patient to the clinic for further evaluation.
Tell the spouse to hold the medication for a day and then resume therapy.
Encourage spouse to have the patient drink orange juice or an electrolyte
solution and rest. - CORRECT ANSWER - Instruct the spouse to bring the
patient to the clinic for further evaluation.
What assessment finding indicates to the nurse that vasopressin (Pitressin) has
been effective? - CORRECT ANSWER - Increased urine specific gravity
Vasopressin (Pitressin) causes decreased water excretion in the renal tubule,
thus increasing urine specific gravity. It is used to treat diabetes insipidus, which
, presents with a low urine specific gravity. This medication does not affect serum
albumin, decrease adrenocorticotropic hormone levels, or decrease pain.
Which hormones are produced by the anterior pituitary gland? (Select all that
apply.)
A. Thyroxine
B. Aldosterone
C. Growth hormone (GH)
D. Thyroid-stimulating hormone (TSH)
E. Thyrotropin-releasing hormone (TRH)
F. Adrenocorticotropic hormone (ACTH) - CORRECT ANSWER - C. Growth
hormone (GH)
D. Thyroid-stimulating hormone (TSH)
F. Adrenocorticotropic hormone
(ACTH)GH, TSH, and ACTH are produced by the anterior pituitary gland.
Aldosterone is secreted from the adrenal cortex. TRH is released from the
hypothalamus. Thyroxine is released from the thyroid gland.
Which hormone inhibits the release of GH - CORRECT ANSWER -
Somatostatin
which condition is contraindicated with humatrope - CORRECT ANSWER -
acromegaly
A patient is in pulseless cardiac arrest. Which medication does the nurse
anticipate administering?
A. vasopressin
B. desmopressin
C. cosyntropin