Author Question: A girl who is 7 1/2 years old has received a diagnosis of precocious puberty from the pediatric ... (Read 24 times)

robinn137 · **on:** Jul 23, 2018

A girl who is 7 1/2 years old has received a diagnosis of precocious puberty from the pediatric endocrinologist. The nurse who collaborates with this physician should anticipate the administration of what drug?

A) Menotropins (Pergonal)
B) Thyrotropin alfa (Thyrogen)
C) Cosyntropin (Cortrosyn
D) Leuprolide acetate (Lupron)

Question 2

A 54-year-old woman is being admitted to the postsurgical unit following a transverse rectus abdominis myocutaneous (TRAM) flap. The patient's care plan specifies the use of preemptive analgesia. This approach to pain control will involve

A) frequent administration of high-dose opioids.
B) simultaneous use of analgesics from different drug classes.
C) alternating administration of opioid antagonists with opioid agonists.
D) patient-controlled analgesia.

bigcheese9 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Leuprolide is useful for the treatment of central precocious puberty in children. Menotropins (Pergonal) stimulates ovulation. Cosyntropin (Cortrosyn) stimulates the adrenal cortex to synthesize and secrete adrenocortical hormones. Thyrotropin alfa (Thyrogen) stimulates the secretion of thyroglobulin.

Answer to Question 2

B
Feedback:
Preemptive analgesia is used to reduce postsurgical pain by simultaneously administering medications from different drug classes to suppress pain by blocking multiple pain pathways. It is not synonymous with PCA and does not require alternation between opioid agonists and antagonists.