Chapter 51: Endocrine Drugs: Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Chapter 51: Endocrine Drugs: Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The parents of an 11-year-old boy ask about growth hormone therapy for their child who is shorter than his 10-year-old sister. The nurse will tell the parents that growth hormone

a.	does not affect other hormones when given.
b.	is available as an oral tablet to be taken once daily.
c.	is given after tests prove that it is necessary.
d.	may be given until the child’s desired height is reached.

 

 

ANS:  C

Growth hormone is given only when growth hormone deficiency is determined. It cannot be given orally. It antagonizes insulin secretion and thus can lead to the development of diabetes mellitus. It cannot be given after the epiphyses are fused.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 743

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. The nurse is caring for a patient who is receiving growth hormone. Which assessment will the nurse monitor daily?

a.	Complete blood count
b.	Height and weight
c.	Renal function
d.	Serum glucose

 

 

ANS:  D

Growth hormone antagonizes insulin secretion, so serum glucose should be monitored.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 743

TOP:   NURSING PROCESS: Assessment/Evaluation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. The parents of a 16-year-old boy who plays football want their child to receive growth hormone to improve muscle strength. What will the nurse tell the parents?

a.	“Growth hormone may be used to improve strength in young athletes.”
b.	“If the epiphyses are not fused, growth hormone may be an option.”
c.	“Small doses of growth hormone may be used indefinitely for this purpose.”
d.	“Using growth hormone to build muscle mass is not recommended.”

 

 

ANS:  D

Athletes should be advised not to take growth hormone to build muscle because of its effects on blood sugar and other side effects.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 743

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. Which would be a contraindication for hormone therapy with somatropin (Genotropin) in a school-age child?

a.	Asthma
b.	Dwarfism
c.	Enuresis
d.	Prader-Willi syndrome

 

 

ANS:  D

Fatalities associated with risks of taking growth hormone with Prader-Willi syndrome have been reported, so it is contraindicated in patients with this syndrome. It is not contraindicated in patients with asthma or enuresis. Dwarfism is an indication for hormone therapy.

 

DIF:    COGNITIVE LEVEL: Remembering (Knowledge)           REF:   Page 743

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies