A 48-year-old patient with acromegaly is not a candidate for ...

[rachel9]

A 48-year-old patient with acromegaly is not a candidate for other therapy. What medication, administered subcutaneously, would the nurse caring for the patient expect the physician to order?
 
  A) Gonadorelin hydrochloride (Factrel)
  B) Octreotide (Sandostatin)
  C) Nafarelin (Synarel)
  D) Gonadorelin acetate (Lutrepulse)

Question 2

The patient reports pain caused by muscle spasms in his back. The nurse assesses the patient as being very anxious and notes how the anxiety results in tensing of muscles. What medication would be most effective in treating this patient?
 
  A) Baclofen (Lioresal)
  B) Botulinum toxin type B (Myobloc)
  C) Dantrolene (Dantrium)
  D) Diazepam (Valium)

[ky860224]

Answer to Question 1

B
Feedback:
Octreotide (Sandostatin) is a treatment for acromegaly in adults who are not candidates for, or cannot tolerate, other therapy. Gonadorelin hydrochloride, nafarelin, and gonadorelin acetate are not indicated for treating acromegaly.

Answer to Question 2

D
Feedback:
Adults complaining of muscle spasm pain that may be related to anxiety often respond very effectively to diazepam, which is a muscle relaxant and anxiolytic. Although many drugs, including baclofen, will treat the muscle spasm, diazepam also reduces anxiety. Dantrolene would be better indicated for spasticity than for spasm and botulinum toxin type B is not prescribed for either anxiety or muscle spasm.

[rachel9]

Excellent

[mochi09]

TYSM