Author Question: The nurse is preparing to assist with a growth hormone provocative test for a child with short ... (Read 64 times)

D2AR0N · **on:** Jun 28, 2018

The nurse is preparing to assist with a growth hormone provocative test for a child with short stature. The nurse recognizes that which pharmacologics should be used to provoke the release of growth hormone (GH)? (Select all that apply.)

a. Larodopa (levodopa)
b. Clonidine (Catapres)
c. Propranolol (Inderal)
d. Cortisone (hydrocortisone)
e. Biosynthetic growth hormone

Question 2

The nurse is caring for a child with an anterior pituitary tumor. What hormones are secreted by the anterior pituitary? (Select all that apply.)

a. Oxytocin
b. Luteinizing hormone
c. Antidiuretic hormone
d. Thyroid-stimulating hormone
e. Adrenocorticotrophi c hormone

mcabuhat · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, C
GH stimulation, or provocative testing, involves the use of pharmacologics to provoke the release of GH either directly or indirectly. Provocative testing involves the use of neuromodulators such as levodopa or agents such as clonidine, arginine, insulin, propranolol, or glucagon followed by the measurement GH blood levels. Cortisone is given to replace hormone deficiencies that can occur with GH deficiency. Biosynthetic GH is used to treat GH deficiency

Answer to Question 2

ANS: B, D, E
The anterior pituitary is responsible for secreting the following hormones: growth hormone, thyroid-stimulating hormone, adrenocorticotrophi c hormone, follicle-stimulating hormone, luteinizing hormone, and prolactin. The posterior pituitary secretes antidiuretic hormone and oxytocin.