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Test Bank For Focus on Nursing Pharmacology 7th Edition ByAmy M. Karch 9781496318213 ALL Chapters .
Sodium and water depletion along with potassium retentionWhat glucocorticoids could the nurse
only administer orally?
A)
Cortisone (Cortone Acetate)
B)
Hydrocortisone (Cortef)
C)
Prednisone (Deltasone)
D)
Triamcinolone (Aristocort) - ANSWER: B
When developing a plan of care for the patient receiving a glucocorticoid, what nursing diagnosis
would be of highest priority?
A)
Deficient fluid volume related to water retention
B)
Risk for injury related to muscle weakness
C)
Imbalanced nutrition: less than body requirements
D)
Risk for infection related to immunosuppression - ANSWER: D
What glucocorticoids could the nurse only administer orally?
A)
Cortisone (Cortone Acetate)
B)
Hydrocortisone (Cortef)
C)
Prednisone (Deltasone)
D)
Triamcinolone (Aristocort) - ANSWER: C
The mother asks the nurse for a steroid cream to put on her infants diaper rash. What teaching will
the nurse provide the mother? (Select all that apply.)
A)
Topical corticosteroids are very effective treatment for diaper rash.
B)
Topical corticosteroid application should not be occluded with a diaper.
C)
Topical corticosteroids should not be applied to open lesions.
D)
Use of topical corticosteroids should be limited in children.
E)
Topical corticosteroids should be applied in a thick coat to the rash. - ANSWER: B,C,D
An older adult patient taking high-dose corticosteroids to treat arthritis requests a pneumonia
vaccine. What is the nurses best response?
A)
Pneumonia vaccines are only given if you are at risk for serious pulmonary problems.
B)
Live virus vaccines cannot be given to people who are significantly immunosuppressed.
C)
,Patients taking corticosteroids are well protected from viruses and do not need vaccines.
D)
Corticosteroids interact with the pneumococcal vaccine to create serious adverse effects. - ANSWER:
B
A patient who is steroid dependent due to adrenocortical insufficiency calls the clinic and is very
upset, telling the nurse of the extreme stress he or she is experiencing right now. What does the
nurse expect the health care provider will order concerning his or her medication?
A)
The dosage may continue as ordered.
B)
The medication may be discontinued until stress declines.
C)
The dosage of the medication may be increased.
D)
The dosage of the medication may be decreased. - ANSWER: C
A nurse is providing patient education to a patient who has had corticosteroids prescribed. What drug
will the nurse teach the patient to avoid while taking the corticosteroids?
A)
Aspirin
B)
Dimenhydrinate (Dramamine)
C)
Ibuprofen (Advil)
D)
Famotidine (Pepcid) - ANSWER: A
The nurse is caring for a patient with a heightened stress response following a fearful experience.
When assessing this patient, what findings will the nurse attribute to this response? (Select all that
apply.)
A)
Elevated serum blood glucose
B)
Reduced inflammatory response
C)
Heightened immune response
D)
Increased blood volume
E)
Extreme hunger - ANSWER: A,B,D
The nurse is providing patient education to a patient taking a glucocorticoid and advises the patient to
take his or her medication at what time of the day?
A)
At bedtime
B)
With the noon meal
C)
At 3:00 PM
D)
Immediately on awakening in the morning - ANSWER: D
An 8-year-old with asthma has been prescribed triamcinolone (Aristocort). What dosage of
medication would the nurse appropriately deliver?
A)
One inhalation per day
, B)
One inhalation b.i.d.
C)
Two inhalations every 3 hours
D)
Two inhalations t.i.d. - ANSWER: D
The nurse, caring for a patient experiencing stress, knows that activation of the stress reaction will
cause the release of what?
A)
Glucose
B)
Aldosterone
C)
Adrenocorticotropic hormone (ACTH)
D)
Oxytocin - ANSWER: C
The nurse is developing a plan of care for an 84-year-old diabetic patient who is receiving oral
hydrocortisone 40 mg daily for treatment of arthritis. What is this patients priority nursing
intervention?
A)
Increasing sodium in diet
B)
Restricting protein in diet
C)
Increasing fluids to 2,000 mL/d
D)
Monitoring blood glucose levels frequently - ANSWER: D
A patient with adrenal insufficiency has been admitted to the intensive care unit in adrenal crisis.
What assessment findings support this diagnosis? (Select all that apply.)
A)
Physiological exhaustion
B)
Hypertension
C)
Fluid shift
D)
Shock - ANSWER: A,C,D
The nurse is providing discharge teaching for a patient prescribed prednisone to be taken on alternate
days. The patient asks why he cannot take half a pill every day. What is the nurses best response?
A)
To eliminate adverse side effects
B)
To prolong therapeutic effects
C)
To prevent steroid tolerance
D)
To decrease adrenal suppression - ANSWER: D
The clinic nurse receives a call from the mother of a 4-year-old child on long-term corticosteroid
therapy saying the child woke up with a cold and is pulling on his ear. What instructions will the nurse
provide?
A)
Encourage fluids, monitor his temperature, and he will be better in 3 days.
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