Chapter 38 Corticosteroids

$2.50

Pay And Download The Complete Chapter Questions And Answers

Chapter 38  Corticosteroids

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. A patient has been on high dose corticosteroid therapy for the treatment of lupus erythematosus. In addition to monitoring electrolyte levels, which laboratory studies will the nurse monitor?
a.
Complete blood count
b.
Partial thromboplastin time
c.
Liver function panel
d.
Blood glucose levels

ANS: D
Corticosteroid therapy may induce hyperglycemia, particularly in prediabetic or diabetic patients. All patients must be monitored for the development of hyperglycemia, particularly during the early weeks of therapy. Steroids do not affect blood count, bleeding time, or liver function.

DIF: Cognitive Level: Application REF: p. 606 OBJ: 4
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

2. A patient who has been taking glucocorticoids over the past 3 months for Crohn’s disease comes in for a follow up visit. On assessment, the nurse notes facial edema, thinning extremities, and a fatty deposition (buffalo hump) on the scapular area. The patient reports the symptoms of the Crohn’s disease are “somewhat better.” What will the nurse expect the treatment to be?
a.
Decrease the steroid dosage by one half.
b.
Increase the steroid dosage.
c.
Maintain the steroid dosage.
d.
Immediately stop the steroid dosage.

ANS: C
Glucocorticoids are primarily used as anti inflammatory agents. Because the symptoms are improving, the physician will most likely maintain the steroid dosage. Adverse effects are anticipated with corticosteroid therapy. Decreasing the dose will not help the condition. Increasing the dose will exacerbate the adverse effects, and the condition is improving with the current dosage. Stopping the dosage will not help the condition or the adverse effects.

DIF: Cognitive Level: Application REF: p. 608 OBJ: 5
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance

3. What is the rationale for administering glucocorticoid therapy as an adjunct to chemotherapeutic agents?
a.
Assists with pain control
b.
Raises blood sugar to meet the increased metabolic needs
c.
Produces immunosuppression effects
d.
Reduces mucositis

ANS: C
Glucocorticoids have an anti inflammatory and antiallergenic action. Suppression of inflammation resulting from cancer enhances the effectiveness of the chemotherapeutic agents. Glucocorticoids do not have an analgesic effect. Glucocorticoids increase blood glucose, but it is an adverse effect, not a primary effect. Glucocorticoids do not reduce mucositis.

DIF: Cognitive Level: Comprehension REF: p. 608 OBJ: 2 | 5
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance

4. A patient with type 1 diabetes was prescribed a glucocorticoid for chronic obstructive pulmonary disease. Which will the nurse expect in the treatment plan?
a.
A decrease in the amount of insulin needed
b.
No change in the amount of insulin needed
c.
An increase in the need for carbohydrates
d.
An increase in the insulin needed

ANS: D
Glucocorticoids may elevate blood glucose levels and induce hyperglycemia, particularly in prediabetic or diabetic patients. Insulin needs increase with an increase in blood glucose levels. Carbohydrate needs will not increase.

DIF: Cognitive Level: Application REF: p. 610 OBJ: 4
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance

5. Which condition would require mineralocorticoid replacement?
a.
Addison’s disease
b.
Diabetes insipidus
c.
Myxedema
d.
Glomerulonephritis

ANS: A
Addison’s disease is a result of failure of the adrenal cortex to produce mineralocorticoids, glucocorticoids, and sex hormones. Replacement therapy of all hormones is essential for the patient to lead a healthy life. Diabetes insipidus is treated with vasopressin. Myxedema is treated with thyroid hormone. Glomerulonephritis is treated with antibiotics.

DIF: Cognitive Level: Comprehension REF: p. 607 OBJ: 5
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance

There are no reviews yet.

Add a review

Be the first to review “Chapter 38 Corticosteroids”

Your email address will not be published. Required fields are marked *

Category: Tag:
Updating…
  • No products in the cart.