A nurse is caring for a client with signs of acromegaly. The nurse is aware that which class of drugs are used to inhibit the release of anterior pituitary hormones?
Hormone replacement
Dopamine Agonists
Levothyroxine medications
Corticosteroids
The Correct Answer is B
A. Hormone replacement is generally used to supplement deficiencies rather than inhibit excess hormone release.
B. Dopamine agonists, such as bromocriptine, are used to inhibit the release of growth hormone from the anterior pituitary, which is beneficial in treating acromegaly, a condition caused by excess growth hormone.
C. Levothyroxine is a thyroid hormone replacement and is not effective in controlling pituitary hormone release.
D. Corticosteroids do not inhibit growth hormone release and are typically used to manage inflammation rather than for pituitary hormone control.
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Correct Answer is D
Explanation
A. While noting the time of day is important for documentation, it does not address the immediate concern of elevated intraocular pressure (IOP).
B. Applying normal saline drops is not indicated in the immediate management of elevated IOP in glaucoma; it does not directly affect IOP levels.
C. Instructing the client to sleep with the head of the bed flat is not advisable, as elevated head positions may help decrease IOP.
D. An IOP of 23 mm Hg is above the normal range (10-21 mm Hg) and indicates potential glaucoma. Therefore, contacting the primary health care provider for further evaluation and treatment is the most appropriate initial action.
Correct Answer is B
Explanation
A. Insufficient insulin production is related to diabetes mellitus, not Cushing's syndrome.
B. Long-term use of glucocorticoids is a well-known exogenous cause of Cushing's syndrome, as it leads to excess cortisol in the body.
C. Adrenal insufficiency refers to a deficiency of adrenal hormones and would not cause Cushing's syndrome, which is characterized by excess hormones.
D. Overproduction of growth hormones is associated with acromegaly or gigantism, not Cushing's syndrome, which primarily involves excess cortisol.