A patient suspected of having Cushing's disease comes to the clinic. What drug might the nurse administer to test for adrenal function and responsiveness?
A) Corticotropin
B) Menotropins
C) Thyrotropin alfa
D) Chorionic gonadotropin
A
Feedback:
Corticotropin (ACTH) and cosyntropin are used for diagnostic purposes to test adrenal function and responsiveness. Menotropin is a purified preparation of gonadotropins and is used as a fertility drug. Thyrotropin alfa is used as adjunctive treatment for radioiodine ablation of thyroid tissue remnants in patients who have undergone a near-total to total thyroidectomy for well-differentiated thyroid cancer and who do not have evidence of metastatic thyroid cancer. Chorionic gonadotropin acts like luteinizing hormone and stimulates the production of testosterone and progesterone.
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What should the nurse do to decrease the potential for a deep vein thrombosis (DVT) in a patient who is a paraplegic from a spinal cord injury?
a. Massage the patient's legs daily b. Perform passive range-of-motion exercises c. Encourage frequent warm baths d. Allow the patient's legs to dangle for a period of 10 minutes several times a day
A client using a new opioid analgesic for pain becomes drowsy after the first two doses. The nurse explains to the client and family that the dose may be too high if this persists for more than
a. 1 day. b. 2 to 3 days. c. 5 to 7 days. d. 7 to 10 days.
Which drug is administered as an oral agent?
a. Antithymocyte globulin (Atgam) b. Basiliximab (Simulect) c. Sirolimus (Rapamune) d. Daclizumab (Zenapax)
An older client complains of periods of confusion and forgetfulness, but reports clear thought process at most times of the day. The family asks the nurse the reason for these changes. The best response by the nurse is which of the following?
1. "You probably have nothing to worry about. It's most likely stress-related.". 2. "Everybody has a few problems with memory as they get older.". 3. "Have you started any new medications since the symptoms began?" 4. "You should probably have an MRI of your brain.".