Answer to Question 1
4
Rationale 1:Bromocriptine (Cycloset) is used for the treatment of acromegaly (overproduction of growth hormone).
Rationale 2: Vasopressin (Pitressin) is a human ADH but only lasts 28 hours.
Rationale 3: Betamethasone (Celestone) is a glucocorticoid.
Rationale 4: A theory of treatment for enuresis is that these clients might benefit from ADH preparations for bladder control.Desmopressi n is preferred as it has a duration of action of 20 hours.
Global Rationale: Desmospressin is a synthetic form ofhuman ADH that acts on the renal tubular cells to increase the reabsorption of water. It has a duration of action of up to 20 hours and is used to manage enuresis or bedwetting that occurs during the night.
Answer to Question 2
4
Rationale 1: Levothyroxine interacts with many other drugs. Cholestyramine decreases the absorption of levothyroxine, which would limit the amount of this drug that enters the client's system.
Rationale 2: Levothyroxine interacts with many other drugs. Cholestyramine decreases the absorption of levothyroxine, which would limit the amount of this drug that enters the client's system.
Rationale 3: Levothyroxine interacts with many other drugs. Cholestyramine decreases the absorption of levothyroxine, which would limit the amount of this drug that enters the client's system.
Rationale 4: Levothyroxine interacts with many other drugs. Cholestyramine decreases the absorption of levothyroxine, which would limit the amount of this drug that enters the client's system.
Global Rationale: Hypolipidemia, hyperthyroidism, and hyperlipidemia are incorrect. Levothyroxine interacts with many other drugs. Cholestyramine decreases the absorption of levothyroxine, which would limit the amount of this drug that enters the client's system; therefore, the nurse would monitor for hypothyroidism.