Mastery EAQ Ch. 30

A  Octreotide

B  Corticotropin

C  Desmopressin

D  Somatropin

A  Somatropin

B  Octreotide

C  Desmopressin

D  Vasopressin

A  “Skip the missed dose and resume your usual dosage schedule.”

B  “You should consult your primary health care provider immediately.”

C  “If it is almost time for your next dose, take a double dose of the drug at that time.”

D  “You can take the dose immediately when you remember it.”

A  Cosyntropin

B  Desmopressin

C  Somatropin

D  Vasopressin

A  Vertigo

B  Drowsiness

C  Bleeding gums

D  Abdominal stress

A  “Keep the bottle in warm water before administration.”

B  “Do not administer the drug to the patient.”

C  “Heat the medicine before administration.”

D  “Shake the medication before administration.”

A  Monitor blood glucose levels closely.

B  Encourage vigorous exercise.

C  Monitor fluid status.

D  Evaluate the patient for limping.

A  Administering the vasopressin intravenously

B  Monitoring the patient in an intensive care unit

C  Obtaining liver and renal function tests

D  Co-administering carbamazepine

A  Bleeding gums

B  Excessive thirst

C  Limping

D  Abdominal cramps

A  Headache, Low urine output, Low blood pressure, Nausea

B  Nausea, Blood glucose elevation, Headache, Low blood pressure

C  Low blood pressure, Blood glucose elevation, Headache, Low urine output

D  Nausea, Blood glucose elevation, Headache, Low urine output

A  Somatropin intramuscular

B  Vasopressin nasal spray

C  Desmopressin intravenously

D  Octreotide subcutaneous

A  Electrocardiogram (ECG)

B  Liver enzymes

C  Renal panel

D  Blood glucose

A  Growth percentile has increased from the previous annual physical.

B  Radiology report identifies no fracture with closed growth plates.

C  Reports episodic muscle pain during the past year.

D  Previous somatropin injection site tender to touch.

A  Obtain baseline weight and height measurements

B  Review the frequency with the health care provider

C  Calculate the dosage with the pharmacist or another nurse

D  Review current laboratory values for blood glucose

A  Assess the patient for headaches

B  Notice increase in body temperature

C  Monitor for signs of infiltration

D  Inquire about abdominal discomfort

A  Edema of the extremities, Elevated blood pressure

B  Elevated blood pressure, Weight gain

C  Weight gain, Edema of the extremities

D  Increased urination, Thirst

A  Make a note of the fluid intake.

B  Watch the IV site closely for infiltration.

C  Assess for signs of dehydration.

D  Measure the patient’s urine output regularly.

A  Esophageal varices and a history of type 2 diabetes

B  Acromegaly and a serum creatinine level of 5.0 mg/dL

C  Carcinoid tumor-secreting vasoactive intestinal peptide (VIP)

D  Small-bowel fistula and having an acute asthma attack

A  1. Clear the nasal passages.
2. Prime the pump by pressing down four times.
3. Place the spray nozzle in the nostril.
4. Give half a spray in each nostril.
5. Replace the cap on the bottle.
6. Monitor the level of drug left in the pump.

B  1. Clear the nasal passages.
2. Prime the pump by pressing down four times.
3. Place the spray nozzle in the nostril.
4. Replace the cap on the bottle.
5. Give half a spray in each nostril.
6. Monitor the level of drug left in the pump.

C  1. Clear the nasal passages.
2. Give half a spray in each nostril.
3. Place the spray nozzle in the nostril.
4. Prime the pump by pressing down four times.
5. Replace the cap on the bottle.
6. Monitor the level of drug left in the pump.

D  1. Clear the nasal passages.
2. Prime the pump by pressing down four times.
3. Place the spray nozzle in the nostril.
4. Give half a spray in each nostril.
5. Monitor the level of drug left in the pump.
6. Replace the cap on the bottle.

A  Patient C: VIP; life-threatening hypotension; diarrhea and flushing

B  Patient A: esophageal varices; type 1 diabetes

C  Patient B: carcinoid tumor; taking ciprofloxacin

D  Patient D: VIP; severe diarrhea and flushing; renal impairment

A  Diarrhea, Flushing

B  Joint pain, Fatigue

C  Headache, Joint pain

D  Fatigue, Headache

A  The medication is not effective for this condition.

B  The patient needs to adjust fluid intake.

C  The patient is stable and needs reassurance.

D  A higher dose of medication is required for treatment.

A  Administering half the dose in each nostril

B  Priming the pump each week

C  Storing the pump at room temperature

D  Inhaling the medication into the airway

A  “Do you feel very thirsty lately?”
“How many times do you urinate in a day?”

B  “Do you have excessive bleeding due to minor injuries?”
“Is there any change in the color of your urine?”

C  “Is there any change in the color of your urine?”
“Is there any change in the color of your sputum?”

D  “Is there any change in the color of your sputum?”
“Do you have excessive bleeding due to minor injuries?”

A  Motor skills, Visual acuity, Skin turgor

B  Weight, Skin turgor, Visual acuity

C  Skin turgor, Height, Visual acuity

D  Height, Weight, Motor skills

A  Priming the nasal pump once a week

B  Pressing the pump once to spray a 10-mcg dose

C  Replacing the cap on the pump after the procedure

D  Pressing down on the pump two times to prime it

A  Hyperglycemia

B  Hypertension

C  Hypothyroidism

D  Hypercalciuria

A  “Inhale the drug preparation by spraying into the nostrils.”

B  “Apply the drug preparation topically to the nasal membranes.”

C  “Dilute the drug preparation before administration.”

D  “Shake the drug preparation thoroughly before use.”

A  Watery diarrhea

B  Abundant, diluted urine

C  Loss of consciousness

D  Oozing blood

A  Bilateral metastatic breast cancer

B  Human immunodeficiency virus (HIV) infection

C  Cachexia and closed growth plates

D  Acute bronchitis with laryngitis

A  An 8-year-old with a pituitary tumor

B  A 10-year-old of short stature who has severe asthma

C  A 17-year-old who is 5 feet tall

D  A 7-year-old diagnosed with growth hormone deficiency

A  Vasopressin and demeclocycline

B  Vasopressin and carbamazepine

C  Desmopressin and carbamazepine

D  Somatropin and glucocorticoids

A  Edema

B  Heartburn

C  Hypoglycemia

D  Seizures

A  Hypokalemia

B  Hyponatremia

C  Orthostatic hypotension

D  Hyperglycemia

A  Glucocorticoids

B  Cyclosporine

C  Ciprofloxacin

D  Fludrocortisone

A  Diabetes insipidus, Seizure, Type I von Willebrand

B  Cardiovascular disease, Diabetes insipidus, Type I von Willebrand

C  Seizure, Asthma, Cardiovascular disease

D  Asthma, Diabetes insipidus, Type I von Willebrand

A  Decreases fluid retention

B  Reduces weight loss

C  Reduces fat levels

D  Decreases growth

A  Increased lipid mobilization, Increased retention of sodium, Improved tissue-building processes

B  Improved tissue-building processes, Low blood sugar levels, Retention of potassium levels

C  Low blood sugar levels, Increased lipid mobilization, Retention of potassium levels

D  Low blood sugar levels, Retention of potassium levels, Increased retention of sodium

A  Acetaminophen

B  Carbamazepine

C  Norepinephrine

D  Thioridazine

A  Weight, Blood pressure, Blood glucose levels

B  Liver enzyme levels, Blood glucose levels, Renal function studies

C  Liver enzyme levels, Renal function studies, Weight

D  Renal function studies, Liver enzyme levels, Blood pressure

A  Arthralgia, Hypercalciuria, Constipation

B  Malaise, Dyspnea,

C  Dyspnea, Constipation, Hypercalciuria

D  Constipation, Malaise, Hypercalciuria

A  Scar formation

B  Edema

C  Inflammation

D  Hypotension

A  Enhances the effects of desmopressin

B  Reduces the effects of desmopressin

C  Causes prolongation of QT interval

D  Produces an additive effect

A  Octreotide

B  Desmopressin

C  Somatropin

D  Vasopressin

A  Octreotide

B  Somatropin

C  Desmopressin

D  Cosyntropin

A  Headache

B  Polydipsia

C  Dehydration

D  Polyuria

A  Thyroid hormone

B  Octreotide

C  Oxytocin

D  Cosyntropin

A  Carbamazepine

B  Demeclocycline

C  Cyclosporine

D  Ciprofloxacin

A  Blood glucose level

B  Creatinine clearance test

C  Complete blood count result

D  Uric acid level

A  Somatropin

B  Vasopressin

C  Luteinizing hormone

D  Desmopressin

A  Polyuria

B  Hypopituitary dwarfism

C  Polydipsia

D  Acromegaly

A  Octreotide

B  Cosyntropin

C  Vasopressin

D  Oxytocin

A  Choriomammotropin

B  Somatolactin

C  Somatropin

D  Somatostatin

A  Thyroxine, Thyroid-stimulating hormone (TSH), Thyrotropin-releasing hormone (TRH)

B  Growth hormone (GH), Thyroid-stimulating hormone (TSH), Adrenocorticotropic hormone (ACTH)

C  Adrenocorticotropic hormone (ACTH), Aldosterone, Thyrotropin-releasing hormone (TRH)

D  Thyroxine, Aldosterone, Thyrotropin-releasing hormone (TRH)

A  Decreased adrenocorticotropic hormone levels

B  Increased urine specific gravity

C  Relief of pain

D  Increased serum albumin levels