Pharmacology Exam 5 NUR 138 Practice Questions and Correct Answers
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Course
NUR 138
Institution
NUR 138
The nurse notes in a patient's medication history that the patient has been taking desmopressin (DDAVP). Based on this finding, the nurse interprets that the patient has which disorder? a. Diabetes mellitus b. Diabetes insipidus c. Adrenocortical insufficiency d. Carcinoid tumor ANS: B. Diabetes in...
Pharmacology Exam 5 NUR 138 Practice
Questions and Correct Answers
The nurse notes in a patient's medication history that the patient has been taking
desmopressin (DDAVP). Based on this finding, the nurse interprets that the patient has
which disorder?
a. Diabetes mellitus
b. Diabetes insipidus
c. Adrenocortical insufficiency
d. Carcinoid tumor ✅ANS: B. Diabetes insipidus
Desmopressin is used to prevent or control polydipsia (excessive thirst), polyuria, and
dehydration in patients with diabetes insipidus. The symptoms are caused by a
deficiency of endogenous antidiuretic hormone. The other options are incorrect.
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?
a. He will need to stop participating in school physical education classes.
b. The somatropin must be discontinued immediately.
c. The somatropin dosage may be adjusted.
d. His growth will be documented and monitored for changes. ✅ANS: C. The
somatropin dosage may be adjusted.
Somatropin is to be used with caution in acute or chronic illnesses, such as migraine
headaches, epilepsy, and asthma. It will not have to be immediately discontinued but
will require close monitoring. The patient's growth will be measured and documented
throughout therapy with somatropin
When a patient is receiving vasopressin (Pitressin), the nurse will monitor for which
therapeutic response?
a. Improved appetite
b. Increased serum albumin levels
c. Increased serum potassium levels
d. Decreased urinary output ✅ANS: D. Decreased urinary output
Decreased severe thirst and decreased urinary output are the therapeutic responses
expected with vasopressin. The other options are incorrect
A pituitary drug is prescribed for a patient with a hormone deficiency, and the nurse
provides instructions about the medication. Which statement by the patient indicates a
need for further instruction?
a. "I will not stop the drug unless my doctor tells me to stop it."
b. "I will call my doctor if I have a fever or sore throat."
c. "I will have to stop drinking my nightly glass of wine."
,d. "I am looking forward to a cure for my condition with this hormone replacement."
✅ANS: D. "I am looking forward to a cure for my condition with this hormone
replacement."
The medication does not lead to a cure but does help to alleviate the symptoms of the
disease for which it is being given. The patient needs to avoid alcohol while taking any
of the pituitary drugs. Instruct the patient not to discontinue this drug abruptly because
of possible negative consequences to the patient and the levels of pituitary hormones.
Any fever, sore throat, joint pain, or muscular pain needs to be reported to the
prescriber immediately
An 8-year-old child has been diagnosed with true pituitary dwarfism and is being treated
with somatropin. In follow-up visits, the nurse will monitor for which expected outcome?
a. Increased growth
b. Decreased urinary output
c. Increased muscle strength
d. Increased height when the child reaches puberty ✅ANS: A. Increased growth
In patients for whom somatropin is indicated, increased growth is expected. The other
options are incorrect.
When reviewing the medication profile of a patient with a new order for desmopressin
(DDAVP), 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
Lithium may cause a decreased therapeutic effect of desmopressin. The other options
are incorrect
A patient's medication order indicates that he is to receive a dose of cosyntropin
(Cortrosyn). The nurse is aware that this drug is used to diagnose which condition?
a. Adrenocortical insufficiency
b. Diabetes insipidus
c. Myasthenia gravis
d. Pituitary dwarfism ✅ANS: A. Adrenocortical insufficiency
Cosyntropin is used for the diagnosis of adrenocortical insufficiency. The other options
are incorrect
A patient is about to receive a dose of octreotide (Sandostatin). The nurse will assess
for which contraindications or cautions? (Select all that apply . )
a. Carcinoid crisis
b. Diarrhea
c. Type 1 diabetes mellitus
d. Gallbladder disease
e. Chronic renal failure
,f. Esophageal varices ✅ANS: C. Type 1 diabetes mellitus, D. Gallbladder disease, E.
Chronic renal failure
Octreotide is used with caution in patients with diabetes (type 1 or 2), gallbladder
impairment, or renal impairment. Carcinoid crisis, which may be associated with severe
diarrhea and flushing, is an indication for octreotide; esophageal varices are also an
indication.
The nurse would question an order for somatrem (Protropin) in a patient with which
condition?
A. Dwarfism
B. Acromegaly
C. Growth failure
D. Hypopituitarism ✅B. Acromegaly
Somatrem is a synthetic form of growth hormone. Acromegaly is caused by excessive
growth hormone, and thus this drug would be contraindicated.
The nurse admitting a patient with acromegaly anticipates administering which
medication?
A. desmopressin (DDAVP)
B. corticotropin (Acthar)
C. somatropin (Nutropin)
D. octreotide (Sandostatin) ✅D. octreotide (Sandostatin)
Octreotide suppresses growth hormone, the culprit of acromegaly.
After administering somatropin (Serostim), the nurse would assess for adverse effects
by monitoring which parameters?
A. Serum potassium levels
B. Mental status
C. Respiratory rate
D. Serum glucose levels ✅D. Serum glucose levels
Hyperglycemia and hypoglycemia are potential adverse effects of somatropin therapy.
A patient is experiencing severe diarrhea, flushing and life threatening hypotension
associated with carcinoid crisis. The nurse will prepare to administer which drug?
A. octreotide (Sandostatin)
B. vasopressin (Pitressin)
C. somatropin (Humatrope)
D. cosyntropin (Cortrosyn) ✅A. Octreotide (Sandostatin)
A patient is suspected of having adrenocortical insufficiency. The nurse expects to
administer which drug to aid in the diagnosis of this condition?
A. octreotide (Sandostatin)
B. vasopressin (Pitressin)
, C. somatropin (Humatrope)
D. cosyntropin (Cortrosyn) ✅D. cosyntropin (Cortrosyn)
The nurse is reviewing the medication list for a patient who will be starting therapy with
somatropin. Which type of drug would raise a concern that needs to be addressed
before the patient starts the somatropin?
A. Nonsteroidal anti-inflammatory drug for arthritis
B. Antidepressant drug
C. Penicillin
D. Glucocorticoid ✅D. Glucocorticoid
Which drugs have an action similar to that of the naturally occurring hormone ADH?
(Select all that apply)
A. cosyntropin (Cortrosyn)
B. desmopressin (DDAVP)
C. somatropin (Humatrope)
D. vasopressin (Pitressin)
E. octreotide (Sandostatin) ✅B. desmopressin (DDAVP)
D. vasopressin (Pitressin)
A patient has developed DI after a head injury. Which medication should the nurse
anticipate to be prescribed for the management of DI?
A. Corticotrophin (Acthar)
B. Desmopressin (DDAVP)
C. Somatropin (Genotropin)
D. Octreotide (Sandostatin) ✅B. Desmopressin (DDAVP)
Vasopressin (Pitressin) and desmopressin (DDAVP) are used to prevent or control
polydipsia (excessive thirst), polyuria, and dehydration in patients with DI caused by a
deficiency of endogenous antidiuretic hormone.
When teaching a patient the adverse effects of desmopressin (DDAVP), the nurse will
instruct the patient to monitor for which potential adverse effects? (Select all that apply.)
A. Nasal Irritation
B. Hyperglycemia
C. Hypotension
D. HA
E. Wt Gain ✅A. Nasal Irritation
C. Hypotension
D. HA
E. Wt Gain
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