Chapter 41, Pituitary and Adrenocortical Hormones TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

1. The nurse has administered gonadotropin to a client. Which assessment finding should the nurse prioritize? A) Abdominal pain B) Visual disturbances C) Auditory disturbances D) Ascites Answer: B Rationale: If the client reports visual disturbances, the drug therapy is discontinued and the primary health care provider notified. An examination by an ophthalmologist is usually indicated. Abdominal pain and ascites are adverse reactions that may or may not require discontinuation of the drug. Auditory disturbances are not associated with this drug. Question Format: Multiple Choice Chapter: 41 Learning Objective: 3 Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potential Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 553, Client Receiving a Gonadotropin 2. The nurse is teaching a client about the ACTH which has been prescribed. The nurse determines the session is successful when the client correctly points out they will need to avoid which medication? A) Live vaccines B) Thyroid hormones C) NSAIDs D) Cold preparations Answer: A Rationale: Clients taking ACTH should avoid any vaccination with live virus as it may increase any adverse reaction to the vaccine, and decrease the client's antibody response to the vaccine. Clients with hypothyroidism should use glucocorticoids cautiously. The use of NSAIDs and cold preparations are not contraindicated with the use of ACTH; however, the nurse should evaluate each client individually to ensure there are no other reasons to avoid these medications. Question Format: Multiple Choice Chapter: 41 Learning Objective: 5 Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potential