Corticosteroid Therapy
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| Which statement accurately describes the glucocorticoid that is secreted from the adrenal cortex along with its effect in the body? | Cortisol, which impacts carbohydrate metabolism
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| Which statements accurately describe the actions glucocorticoids exert in the inflammatory process? | -Stimulation of erythroid cells
-Reduction of interleukin-1 release from white blood cells
-Promotion of protein metabolism, glycogen production, and fat redistribution
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| -- | -Stabilization of lysosomal cell membranes to reduce capillary permeability and leukocyte migration
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| Which statement about fludrocortisone is accurate? | Fludrocortisone possesses both mineralocorticoid and glucocorticoid activity.
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| Which patients does a nurse determine cannot safely receive prednisone? | -A 33-year-old patient with active tuberculosis
-A 78-year-old patient with cataracts
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| A patient has been prescribed prednisone 10 mg PO daily for worsening systemic lupus erythematous (SLE). The patient is also on hydroxychloroquine (for SLE) and warfarin (for venous thromboembolism). | --
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| Which effect does the nurse anticipate will occur if prednisone is administered to this patient? | The prednisone will interact with warfarin, increasing the effects of warfarin.
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| A nurse instructs a patient with rheumatoid arthritis who was prescribed prednisone 20 mg PO daily. Which statements by the patient indicate that patient teaching was effective? | -“I will make sure to have a diet rich in vitamin D and calcium to reduce my risk for osteoporosis.”
-“I will make sure to take the prednisone with food to avoid an upset stomach.”
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| -- | -“I may experience side effects and adverse effects such as insomnia, weight gain, and mood swings.”
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| Which side/adverse effects and/or laboratory results would a nurse monitor for while a patient is receiving fludrocortisone? | -Swelling in the extremities
-Increased blood sugars
-Hypertension
-Decreased bone mineral density
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| A nurse is providing care to a patient with chronic kidney disease (CKD) who has been prescribed methylprednisolone. Which statement describes the appropriate nursing action for this patient and the rationale for this action? | The nurse should monitor for side effects because methylprednisolone is renally excreted.
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| Which categories can be used for classifying glucocorticoids? | -Duration of action
-Route of administration
-Natural versus synthetic analog
-Potential for sodium and water retention
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| Which parameters would be assessed in a patient who has been prescribed prednisone? | -Vital signs
-Glucose levels
-Potassium levels
-Presence of preexisting edema
-Skin color, turgor, and temperature
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