NSG 123 Test #4 Corticosteroid review
19. 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 child take 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
6. 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. Angiotensinconverting enzyme (ACE) inhibitors C. Sulfonylureas D. Aspirin
A
2. 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 analgesic drug will the nurse administer? A. Narcotic B. Corticosteroid C. Opioid D. Antidepressant
B
23. The nurse is conducting an admission history of a client admitted with a fracture. The nurse recognizes that which of the client's medications placed the client at risk for fractures? A. furosemide (Lasix) B. prednisone (Deltasone) C. metoprolol (Lopressor) D. digoxin (Lanoxin)
B
10. A client newly diagnosed with ulcerative colitis who has been placed on steroids asks the nurse why steroids are prescribed. The nurse should tell the client? A. "Ulcerative colitis can be cured by the use of steroids." B. "Long-term use of steroids will prolong periods of remission." C. "Steroids are used in severe flare-ups because they can decrease the incidence of bleeding." D. "The side effects of steroids outweigh their benefits to clients with ulcerative colitis."
C
12. Which of the following indicates that the client with Addison's disease is receiving too much glucocorticoid replacement? A. Dizziness. B. Anorexia. C. Rapid weight gain. D. Poor skin turgor.
C
22. When teaching the client who is receiving long-term prednisone therapy, the nurse should recommend? A. Eat foods that are low in potassium B. Take over-the-counter drugs as needed. C. Take the prednisone with food. D. Exercise three to four times a week.
C
4. Patients who have received corticosteroids preoperatively are at risk for which type of insufficiency? A.Thyroid B.Parathyroid C. Adrenal D.Pituitary
C
7. 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
17. A client diagnosed with systemic lupus erythematosus comes to the emergency department with severe back pain. She reports that she first felt pain after manually opening her garage door and that she is taking prednisone daily. What adverse effect of long-term corticosteroid therapy is most likely responsible for the pain? A. Hypertension B. Muscle wasting C. Truncal obesity D. Osteoporosis
D
5. Which factor in a client's history indicates she's at risk for candidiasis? A. Greater than the age of 45 B. Use of spermicidal jelly C. Menopause D. Use of corticosteroids
D
9. An elderly client on steroids has secondary diabetes and chronic kidney disease (CKD) and takes insulin. The client has had episodes of hypoglycemia. 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 recommend that the doses of insulin be evaluated.
D
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
13. The nurse is caring for a patient with diabetes who has an infection. The nurse creates a plan of care for the patient based on a knowledge of the hypothalamic-pituitary response to stress by including which of the following nursing interventions in the plan of care A. Increasing insulin dosage B. Measurement of intake/output C. Assessment for hyperglycemia D. Restriction of dietary protein
C
3. 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
21. 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 and exercise. C. To notify the health care provider when the blood pressure is suddenly high. D. The importance of watching for signs of hyperglycemia.
D
8. The nurse is conducting an admission history and physical examination of a patient with a history of contact dermatitis. The nurse assesses if the patient utilizes which of the following medication classifications? A. Antifungals B. Antivirals C. Saline irrigations D. Corticosteroids
D
18. A physician orders prednisone to control inflammation in a client with interstitial lung disease. During client teaching, the nurse stresses the importance of taking prednisone exactly as ordered and cautions against discontinuing the drug abruptly. A client who discontinues prednisone abruptly may experience: A. hyperglycemia and glycosuria. B. acute adrenocortical insufficiency. C. GI bleeding. D. restlessness and seizures.
B
16. A client takes prednisone, as ordered, for rheumatoid arthritis. During follow-up visits, the nurse should assess the client for common adverse reactions to this drug, such as: A. tetany and tremors. B. anorexia and weight loss C. abdominal cramps and diarrhea. D. fluid retention and weight gain
D
24. 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
25. 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
15. 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 your intake 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
20. 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 drug at the same time every day establishes a regular routine, reducing the risk of forgetting a dose.
C
