C HAPTER 30: P ITUITARY D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. When reviewing the medication profile of a patient with a new order for
desmopressin, the nurse notes that a drug interaction will occur if which
drug is taken with desmopressin?
a. Aspirin
b. Digoxin
c. Lithium
d. Penicillin
ANS: C
Lithium may cause a decreased therapeutic effect of desmopressin. The
other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. A patient’s medication order indicates that he is to receive a dose of
cos yntropin. The nurse is aware th at this drug is used to diagnose which
condition?
a. Adrenocortical insufficiency
b. Diabetes insipidus
c. Myasthenia gravis
d. Pituitary dwarfism
, ANS: A
Cosyntropin is used for the diagnosis of adrenocortical insufficiency.
The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient who has been on somatropin has been hospitalized for an acute
asthma exacerbation, and is rece iving intravenous doses of
glucocorticoids. The nurse recognizes that which effect may occur if these
drugs are given together?
a. Reduction of growth effects
b. Hyperkalemia
c. Increased urine output
d. Diarrhea
ANS: A
Reduced growth effects may occur if somatropin i s given with
glucocorticoid. However, in this situation, the benefits of the
glucocorticoid outweighs the risk. The other options are not correct.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integri t y: Reduction of Risk
Potential
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. When reviewing the medication profile of a patient with a new order for
desmopressin, the nurse notes that a drug interaction will occur if which
drug is taken with desmopressin?
a. Aspirin
b. Digoxin
c. Lithium
d. Penicillin
ANS: C
Lithium may cause a decreased therapeutic effect of desmopressin. The
other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. A patient’s medication order indicates that he is to receive a dose of
cos yntropin. The nurse is aware th at this drug is used to diagnose which
condition?
a. Adrenocortical insufficiency
b. Diabetes insipidus
c. Myasthenia gravis
d. Pituitary dwarfism
, ANS: A
Cosyntropin is used for the diagnosis of adrenocortical insufficiency.
The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient who has been on somatropin has been hospitalized for an acute
asthma exacerbation, and is rece iving intravenous doses of
glucocorticoids. The nurse recognizes that which effect may occur if these
drugs are given together?
a. Reduction of growth effects
b. Hyperkalemia
c. Increased urine output
d. Diarrhea
ANS: A
Reduced growth effects may occur if somatropin i s given with
glucocorticoid. However, in this situation, the benefits of the
glucocorticoid outweighs the risk. The other options are not correct.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integri t y: Reduction of Risk
Potential
