anti-inflammation meds

types of corticosteroids

Androgens Glucocorticoids Mineralocorticoids

A nurse is teaching a client with adrenal insufficiency about corticosteroids. Which statement by the client indicates a need for additional teaching? A."I will see my ophthalmologist regularly for a check-up" B."I will avoid friends and family members who are sick" C."I will eat lots of chicken and dairy products" D."I may stop taking this medication when I feel better"

D

. A client is to be discharged on prednisone. Which of the following statements indicates that the client understands important concepts about the medication therapy? A."I need to wear or carry identification that I am taking prednisone" B."I need to take the medicine in divided doses at morning and bedtime" C."I am to take 40 mg of prednisone for 2 months and then stop" D."Prednisone will give me extra protection from colds and flu"

a

The nurse is assessing the client's use of medications. Which of the following medications may cause a complication with the treatment plan of a client with diabetes? A.Steroids B.Angiotensin-converting enzyme (ACE) inhibitors C.Sulfonylureas D.Aspirin

a

A client is ordered prednisone daily. Which statement best explains why the nurse should instruct the client to take this drug in the morning? A.Prednisone has a longer half-life with morning administration, making it more effective. B.Prednisone is best absorbed when taken on an empty stomach, first thing in the morning. C.Morning administration of prednisone mimics the body's natural corticosteroid secretion pattern. D.Taking the drugat the same time every day establishes a regular routine, reducing the risk of forgetting a dose.

c

Patients who are receiving corticosteroids and stop abruptly are at risk for which type of insufficiency? A.Thyroid B.Parathyroid C.Adrenal D.Pituitary

c

A client on steroids is an insulin dependent diabetic and has chronic kidney disease (CKD). The client has had episodes of hyperglycemia. The nurse should: A.Continue to monitor the client's blood glucose values. B.Restrict ambulation so there will be less of a chance for hypoglycemia. C.Contact the dietician to request that one additional serving of protein be added to each meal .D.Contact the physician and recommendthat the doses of insulin be evaluated.

d

Which topic is most important to include in the teaching plan for a client newly diagnosed with Addison's disease who will be taking corticosteroids? A.How to decrease the dose of the corticosteroids when the client experiences stress. B.The need to adjust the steroid dose based on dietary intake andexercise. C.To notify the health care provider when the blood pressure is suddenly high. D.The importance of watching for signs of hyperglycemia.

d

Aclientis being educated about taking corticosteroidtherapy. The nurse knows that teaching was successful when the client states whichof the following?Select all the apply A.Take before going to bedB.Avoid exposure to crowds C.Avoid operating heavy machinery D.Wound healing may be delayed E.Do not suddenly stop taking the medication F.This medication increases my risk of a fracture G.I should see an ophthalmologist regularly

B, D, E, F, G

A patient has been taking prednisone for several weeks after experiencing a hypersensitivity reaction. To prevent adrenal insufficiency, the nurse should ensure that the patient knows to do which of the following? A.Slowly taper down the dose of prednisone, as ordered. B.Take the drug concurrent with levothyroxine (Synthroid). C.Gradually replace the prednisone with an OTC alternative. D.Take each dose of prednisone with a dose of calcium chloride.

a

Which of the following instructions should the nurse give to the parents of an 8-year-old child with asthma who is being switched from parenteral steroid therapy to a daily dose of oral prednisone? A."Have the childtake the dose with meals to prevent gastric irritation" B."Administer the dose before bedtime to minimize adverse effects" C."Give the medication according to the child's response" D."Make sure to give the pill intact to maintain the enteric coating"

a

A client being treated for rheumatoid arthritis has been prescribed a type of drug that is commonly used for joint inflammation. The nurse will administer an initial dose as an injection, and the client will continue taking an oral form of the medication. Which type of medicationwill the nurse administer? A.Narcotic B.Corticosteroid C.Opioid D.Antidepressant

b

A client is asking about dietary modifications to counteract the long-term effects of prednisone. What is the most appropriate information for the nurse to give the client? A. "Increase yourintake of polyunsaturated fats" B."Increase your intake of calcium and vitamin D" C."Increase your intake of complex carbohydrates" D."Increase your intake of dietary sodium"

b

A nurse should perform which intervention for a client with Cushing's syndrome? A.Offer clothing or bedding that's cool and comfortable. B.Explain the rationale for increasing salt and fluid intake in times of illness, increased stress, and very hot weather. C.Explain that the client's physical changes are a result of excessive corticosteroids. D.Suggest a high-carbohydrate, low-protein diet.

c

The nurse teaches the patient that corticosteroids will be used to treat his brain tumor for which reason? A.Prevent extension of the tumor B.Facilitate regeneration of neurons C.Reduce cerebral edema D.Identify precise location of the tumor

c

Gluccocorticoids

•*prednisone (Deltasone)•prednisolone (Omnipred, Pred Forte, and others)•*hydrocortisone sodium succinate (Solu-Cortef)•methylprednisolone (Solu-Medrol)•beclomethasone (Beconase AC)•betamethasone (Celestone, Soluspan, and others)•budesonide (Rhinocort,Entocort EC)•*cortisone (generic)•dexamethasone (generic)•flunisolide (generic)•triamcinolone (Kenalog and others)* Therapeutic Actions and Indications 1.Indicated for the short term treatment of inflammatory disorders 2.Relieve discomfort 3.Provide an opportunity for the body to heal from the effects of inflammation RAISES blood sugar used to treat: •Adrenocortical deficiency•Adrenogenital syndromes•Bacterial meningitis•Cerebral edema•Collagen Diseases•Dermatologic Diseases•Endocrine Disorders•GI Diseases•Exacerbations of chronic respiratory illness•Hematologic Disorders•Ophthalmic Disorders•Organ transplantation•Leukemias and lymphomas•Nephrotic syndrome•Spinal Cord Injury Absorbed well from many sites:•Inhalation•Nasal•Topical•PO•IV•Intra-articular•Intramuscular•Ophthalmic Metabolized mostly within the liver and excreted in urine Known to cross the placenta and enter breastmilk Contraindications •Known allergy •Presence of acute infection •Lactation Cautions•Diabetes•Acute peptic ulcers•Other endocrine disorders•Pregnancy Adverse Effects •African American population at greater risk for developing toxicity when taking Methylprednisolone •Children may experience stunted growth •Local use associated with local inflammations and infections as well as burning and stinging •Adrenal insufficiency

Corticosteroids

•Relieve inflammation during acute stages of illness •Replacement therapy to maintain hormone levels when the adrenal glands are not functioning adequately