Which preparation of antidiuretic hormone (ADH) is occasionally ...

[stevenposner]

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]

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.

[stevenposner]

Thanks for the timely response, appreciate it

[cam1229]

Excellent