NR 293 Week 6 Quiz 4 (GRADED A) Questions and Answer elaborations | 100% Correct solutions
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NR 293
NR293 Pharmacology Pre-class Questions Week 6 Answer the following questions. Give rationales for each question asked and include the reference and page number where the answer was found. Rationales must be TYPED with chapter and pg. no. included. Upload test questions and rationales to the submiss...
what are possible effects of drugs for treating growth hormone deficiency in children
2 what assessment finding indicates to the nurse that vasopressin has been effective
3 the nurse is caring for
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NR 293 Week 6 Quiz 4
NR293 Pharmacology
Pre-class Questions Week 6
Answer the following questions. Give rationales for each question asked and include the
reference and page number where the answer was found. Rationales must be TYPED with
chapter and pg. no. included. Upload test questions and rationales to the submission tab under
the course shell. The assignment must be completed on the provided document. No other
forms will be accepted. Questions will be graded for accuracy. Each question along with the
rationale will be worth 0.5 points, for a total of 20 points possible. The assignment is due
Sunday 02/16/20 at 11:59 pm. No late submissions will be accepted. Late submissions will
result in zero points for the assignment.
1. What are possible effects of drugs for treating growth hormone deficiency in children?
Select all that apply.
a. Higher blood sugar levels
b. Increased lipid mobilization
c. Retention of potassium levels
d. Increased retention of sodium
e. Improved tissue-building processes
Rationale: “The drugs that mimic growth hormone (GH) are somatropin and somatrem. These
drugs promote growth by stimulating various anabolic (tissue-building) processes, liver
glycogenolysis (to raise blood sugar levels), lipid mobilization from body fat stores, and retention
of sodium, potassium, and phosphorus. Both drugs promote linear growth in children who lack
normal amounts of the endogenous hormone” Chapter 30, page 475
2. What assessment finding indicates to the nurse that vasopressin has been effective?
a. Relief of pain
b. Increased urine specific gravity
c. Increased serum albumin levels
d. Decreased adrenocorticotropic hormone levels
Rationale: “The drugs that affect the posterior pituitary gland, such as vasopressin and
desmopressin, mimic the actions of the naturally occurring antidiuretic hormone (ADH). They
increase water resorption in the distal tubules and collecting ducts of the nephrons, and they
concentrate urine, reducing water excretion by up to 90%” Chapter 30, page 475
3. The nurse is caring for a patient who has vasodilatory shock. On further assessment, the
nurse finds that the patient has persisting orthostatic hypotension even after the
medication is administered. What reason does the nurse expect for the persistence?
a. The patient is administered vasopressin and carbamazepine.
b. The patient is administered somatropin and glucocorticoids.
c. The patient is administered vasopressin and demeclocycline.
d. The patient is administered desmopressin and carbamazepine.
, 2
NR 293 Week 6 Quiz 4
Rationale: “An improvement in diabetes insipidus, esophageal varices, or vasodilatory shock is
expected with vasopressin” Under Table 30.5 Pituitary Drugs: Selected Drug Interactions
“Vasopressin—interacting drug: demeclocycline—having a potential results of reduced
antidiuretic effect” “Demeclocycline (Declomycin) is a naturally occurring tetracycline antibiotic
that is derived from strains of Streptomyces. It is used both for its antibacterial action and for its
ability to inhibit the action of antidiuretic hormone in SIADH” Chapter 30, page 476
4. A patient is prescribed somatropin injection subcutaneously. Which nursing intervention
promotes safe administration of the drug?
a. Rotating the injection site
b. Shaking the vial vigorously
c. Administering in the ventral gluteal site
d. Administering if the drug in the vial is cloudy
Rationale: “For desmopressin and somatropin, rotate subcutaneous and/or IM injection sites”
Chapter 30, page 478
5. The nurse is teaching a patient who is prescribed desmopressin and who has polyuria,
polydipsia, and dehydration. Which statement by the patient indicates the need for
additional teaching?
a. "I will avoid taking demeclocycline."
b. "I will avoid consuming alcohol along with the drug."
c. "I will increase intake of juices and water in my diet."
d. "I will take medicines immediately upon getting up in the morning."
Rationale: “Desmopressin is also used for management of nocturnal enuresis” Chapter 30, page
475
6. The nurse instructs a nursing student to administer vasopressin to a patient. The student
observes visible particles in the vasopressin solution and notifies the nurse. What
instruction will the nurse give the student to ensure safe administration of vasopressin?
a. "Heat the medicine before administration."
b. "Do not administer the drug to the patient."
c. "Shake the medication before administration."
d. "Keep the bottle in warm water before administration."
Rationale: “Vasopressin is available as a nasal spray or as an IM or IV injection. Always check the
clarity of parenteral solutions before administering the medication. Discard the solution if there
are visible particles or any fluid discoloration” Chapter 30, page 478
7. The nurse is caring for a patient who is receiving levothyroxine. The patient asks when
the symptoms of hypothyroidism will stop. What is the nurse's best answer?
a. "The medication will be effective in a couple of days."
b. "It can take 1 to 4 weeks before the medication is effective."
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