Chap 30 (exam 3)

Question 1

Adrenocorticotropic hormone (ACTH, corticotropin)
Function? Mimicking Drug(s)?

Answer 1

Functions- Targets adrenal gland; mediations adaptation to stressors; promotes synthesis of the following three hormones: Glucocorticoids, mineralocorticoids, androgens
Mimicking Drug(s)- Cosyntropin

Question 2

Growth hormone

Function? Mimicking Drug(s)?

Answer 2

Functions- Regulates anabolic processes related to growth and adaptation to stressors; promotes skeletal and muscle growth; increases protein synthesis; increases liver glycogenolysis; increases fat mobilization
Mimicking Drug(s)-Somatropin and somatrem

Question 3

Antidiuretic hormone

Function? Mimicking Drug(s)?

Answer 3

Functions- Increases water resorption in distal tubules and collecting duct of nephron; concentrates urine; potent vasoconstrictor
Mimicking Drug(s)- Vasopression and desmopression

Question 4

Oxytocin

Function? Mimicking Drug(s)?

Answer 4

Functions- Promotes uterine contractions
Mimicking Drug(s)- Pitocin

Question 5

When administering vasopressin, which is the priority vital signs for the nurse to monitor?
Temperature
Pulse
Respirations
Blood pressure

Answer 5

Blood pressure

Question 6

A patient is administering octreotide (Sandostatin) to a patient who has a metastatic carnicoid tumor. The patient asks about the purpose of this drug. What is the nurse’s best response?
“This drug helps to reduce the size of your tumor”
“This drug works to prevent the spread of your tumor”
“This drugs helps to control the flushing and diarrhea that you are experiencing”
“This drug reduces the nausea and vomiting you are having from the chemotherapy”

Answer 6

“This drugs helps to control the flushing and diarrhea that you are experiencing”

Question 7

Which nursing diagnosis is most appropriate for a patient who is receiving a pituitary drug?
Constipation
Disturbed body image
Impaired physical mobility
Impaired skin integrity

Answer 7

Disturbed body image

Question 8

The nurse will instruct a patient taking desmopressin acetate as a nasal spray for the treatment of diabetes insipidus to perform which action to obtain maximum benefit from the drug?
Clear the nasal passages before spraying the medication
Blow his nose after taking the medication
Take an over the counter preparation to control mucus if nasal congestion occurs
Press on the pump once to prime it before delivering the dose

Answer 8

Clear the nasal passages before spraying the medication

Question 9

During the vasopressin therapy, which is the priority nursing action?
Check blood glucose levels regularly
Monitor the electrocardiogram for changes
Monitor the IV site for signs of infiltration
Watch for hyperthermia

Answer 9

Monitor the IV site for signs of infiltration

Question 10

When assessing a patient who is receiving octreotide (Sandostatin) therapy, the nurse will closely monitor which assessment finding?
Blood glucose levels
Pulse
Weight
Serum potassium levels

Answer 10

Blood glucose levels