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Author Question: The nurse is caring for a patient who has hypothyroidism. To assist in differentiating between ... (Read 36 times)

karlynnae

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on: Jul 23, 2018
The nurse is caring for a patient who has hypothyroidism. To assist in differentiating between primary and secondary hypothyroidism, the nurse will expect the provider to order which drug?
 
  a. Liothyronine sodium (Cytomel)
  b. Liotrix (Thyrolar)
  c. Methimazole (Tapazole)
  d. Thyrotropin (Thytropar)

Question 2

A child exhibits acromegaly caused by a tumor that cannot be destroyed with radiation. Which medication will most likely be used to treat this child?
 
  a. Bromocriptine mesylate (Parlodel)
  b. Octreotide acetate (Sandostatin)
  c. Somatrem (Protropin)
  d. Somatropin (Genotropin)


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kaykay69

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Thyrotropin is a purified extract of thyroid-stimulating hormone and is used as a diagnostic agent to differentiate between primary and secondary hypothyroidism. Liothyronine and liotrix are thyroid replacement drugs. Methimazole is used to decrease thyroid hormone secretion.

Answer to Question 2

ANS: A
Bromocriptine is a prolactin-release inhibitor and is used to inhibit release of growth hormone from the pituitary gland if the tumor cannot be destroyed by radiation. Octreotide may be used as well, but it is expensive and is typically used as adjunct therapy to radiation. Somatrem and somatropin are used to treat growth hormone deficiency and would make acromegaly worse.


karlynnae

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


kaykay69

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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