Nokea
A group of nursing students demonstrate understanding of a class discussion on pituitary hormones when they identify which of the following hormones as secreted by the posterior pituitary gland? Select all that apply.
- A. Growth hormone
- B. Adrenocorticotropic hormone
- C. Vasopressin
- D. Prolactin
- E. Oxytocin
Correct Answer: C,E
Rationale: Vasopressin and oxytocin are secreted by the posterior pituitary gland. Growth hormone, adrenocorticotropic hormone, and prolactin are secreted by the anterior pituitary gland, not the posterior.
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A nurse is caring for a client receiving desmopressin (DDAVP). The nurse would assess the client for which of the following adverse reactions? Select all that apply.
- A. Tremor
- B. Hypotension
- C. Diaphoresis
- D. Dehydration
- E. Nausea
Correct Answer: A,C,E
Rationale: A nurse should monitor a client taking desmopressin (DDAVP) for the following adverse reactions: tremor, diaphoresis, vertigo, nasal congestion, nausea, vomiting, abdominal cramps, and water intoxication.
After teaching a group of nursing students about corticosteroids, the instructor determines that the teaching was successful when the students identify which of the following as a mineralocorticoid?
- A. Hydrocortisone
- B. Betamethasone
- C. Triamcinolone
- D. Fludrocortisone
Correct Answer: D
Rationale: Fludrocortisone is a mineralocorticoid. Hydrocortisone, betamethasone, and triamcinolone are glucocorticoids.
A nurse completing discharge counseling should advise a client taking vasopressin (Pressyn) to notify the physician if which of the following occur? Select all that apply.
- A. Changes in urine output
- B. Abdominal cramps
- C. Skin blanching
- D. Diarrhea
- E. Cough
Correct Answer: A,B,C
Rationale: A nurse completing discharge counseling should advise a client taking vasopressin (Pressyn) to notify the physician if any of the following occur: a significant increase or decrease in urine output, abdominal cramps, skin blanching, nausea, confusion, headache, drowsiness, or signs of inflammation or infection at the injection sites.
A nurse would administer vasopressin (Pressyn) cautiously to a client with which of the following? Select all that apply.
- A. Sleep apnea
- B. Migraine headaches
- C. Asthma
- D. Seizure disorders
- E. Angina
Correct Answer: B,C,D,E
Rationale: Vasopressin (Pressyn) is used cautiously in clients with a history of seizure disorder, migraine headaches, asthma, congestive heart failure, or vascular disease (angina and myocardial infarction).
The client develops acne. What should the nurse instruct the client with acne?
- A. Use water-based cosmetics or creams.
- B. Do not receive live virus vaccines.
- C. Avoid the use of alcohol while taking the drug.
- D. Avoid exposure to infections.
Correct Answer: A
Rationale: The nurse should instruct the client with acne to keep the affected areas clean and use over-the-counter acne drugs and water-based cosmetics or creams. The nurse need not instruct the client to stop receiving live virus vaccines, avoid using alcohol, or avoid exposure to infections. When the client is undergoing long-term or high-dose glucocorticoid therapy, the nurse should inform the client to avoid receiving live virus vaccines and avoid exposure to infections if possible in the teaching plan for the client and family. If the client is undergoing vasopressin therapy, the nurse needs to instruct the client to avoid the use of alcohol while taking the drug.