Exam 59: Drugs Related to Hypothalamic and Pituitary Function

A 7-year-old child who is otherwise healthy is receiving mecasermin [Increlex] replacement therapy to treat severe primary deficiency of insulin-like growth factor-1 (IGF-1). The child develops tonsillar hypertrophy. The nurse anticipates that the provider will recommend:

A nurse is providing teaching for a nondiabetic adult who develops growth hormone deficiency and who will begin treatment with somatropin [Humatrope]. Which statement by the patient indicates understanding of the teaching?

A male patient reports decreased libido and the nurse notes galactorrhea during a physical assessment. The nurse will report these findings to the provider and will anticipate an order for which medication?

What are the effects of prolactin secretion in males? (Select all that apply.)

Which are indications for discontinuing growth hormone (GH)therapy in children with documented growth hormone deficiency? (Select all that apply.)

A patient with acromegaly asks the nurse about treatments for this condition. What will the nurse tell the patient?

A clinic patient who has cirrhosis of the liver develops hypervolemic hypernatremia. Which medication will the nurse expect the provider to order?

A nurse teaches a nursing student about the differences between desmopressin (DDAVP)and vasopressin [Pitressin]. Which statement by the student indicates a need for further teaching?

A patient with antidiuretic hormone deficiency is receiving desmopressin (DDAVP). The nurse will teach this patient to:

The nurse is caring for a patient receiving desmopressin [Stimate]. The nurse is performing a physical assessment and notes that the patient is drowsy and listless and complains of a recent onset of headache. Which finding would be most consistent with these symptoms?

A child with Prader-Willi syndrome (PWS)has short stature,and the provider is considering treatment with growth hormone. Which aspect of this child's history should the nurse report to the provider?

A patient is hospitalized with head trauma after a motor vehicle accident. The nurse caring for the patient notes a marked increase in the output of pale,dilute urine. The nurse suspects which condition?

A nurse is preparing to administer a dose of growth hormone and reconstitutes the medication. After adding the diluent,the nurse notices that the preparation is cloudy. What will the nurse do?