Author Question: Which preparation of antidiuretic hormone (ADH) is occasionally used to treat enuresis? 1. ... (Read 73 times)

stevenposner · **on:** Jul 23, 2018

Which preparation of antidiuretic hormone (ADH) is occasionally used to treat enuresis?

1. Bromocriptine (Cycloset)
2. Vasopressin (Pitressin)
3. Betamethasone (Celestone)
4. Desmopressin (Stimate)

Question 2

The nurse is caring for a client who is taking levothyroxine (Synthroid) and cholestyramine (Questran). Which reaction should the nurse monitor this client for when administering these medications?

1. Hypolipidemia
2. Hyperthyroidism
3. Hyperlipidemia
4. Hypothyroidism

yeungji · **Reply #1 on:** Jul 23, 2018

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.