EXAMS ALL QUESTIONS AND ANSWERS SURE A+
✔✔When teaching a client about cortisol, the nurse should include information on which
factors that increase cortisol levels? Select all that apply. - ✔✔Physiologic stress
Emotional stress
Surgery
Trauma
✔✔When exogenous glucocorticoids are administered, the body stops producing
exogenous hormones. Therefore, if the exogenous hormones are stopped abruptly,
adrenal __________ will result. - ✔✔Suppression
✔✔The client taking a newly ordered glucocorticoid medication asks the nurse why it
must be taken at a specific time each day. The nurse explains that this type of
medication is best taken __________ since this is the time when the body produces the
greatest amount of these hormones. - ✔✔Early in the morning
✔✔While teaching a client about a newly prescribed steroidal anti-inflammatory
medication, the nurse should include which reasons to not stop taking the medication
abruptly? Select all that apply. - ✔✔While taking the medication, the body produces
fewer glucocorticoids.
,Gastrointestinal (GI) upset may occur.
The body needs time to begin producing the hormones again.
Life-threatening adrenal suppression may occur.
✔✔The nurse caring for a client taking prescribed steroidal anti-inflammatory
medications for 2 days should monitor for changes in which serum laboratory values?
Select all that apply. - ✔✔Thyroxine (T4)
Sodium
Calcium
White blood cells (WBC)
Potassium
✔✔A client on long-term steroidal anti-inflammatory therapy tells the nurse that they
hate "moon face" changes, so they have stopped leaving the house. The most
appropriate outcome of care is that the client will experience __________. - ✔✔An
improved body image
✔✔The nurse administering an inhaled glucocorticoid drug should encourage the client
to __________ afterwards. - ✔✔Rinse their mouth
✔✔Which instruction should the nurse include when teaching a client taking a newly
prescribed steroidal anti-inflammatory drug? - ✔✔Follow administration instructions
carefully.
✔✔The clinic nurse is reviewing the health records of four clients who walked into the
clinic after starting steroidal anti-inflammatory medications. Which client should the
nurse assess first? - ✔✔An older adult with diabetes mellitus type 2 and cardiovascular
disease whose adult child noticed confusion.
✔✔What information should the nurse include when teaching a client with asthma being
discharged with a prescription for prednisone? Select that all apply. - ✔✔The medicine
may interfere with sleep, so take the dose at the same time each morning.
✔✔The nurse is reviewing the health record of a client receiving prednisone for adrenal
insufficiency and furosemide for edema. Which documented findings should the nurse
report to the healthcare provider immediately? Select that all apply. - ✔✔Weight
increased 2.3 lb (1.04 kg) in one day
Serum potassium 2.7 mEq/L (reference: 3.5-5.0 mEq/L)
Dark, tarry stools
✔✔The nurse documents that client teaching has been effective when a client being
discharged with a prescription for prednisolone includes which reasons for contacting
, their healthcare provider during the teach-back session? Select all that apply. -
✔✔Fever
Dyspnea
Non-healing sores
Mood swings
Severe abdominal pain
✔✔Which statements are true about prednisone? Select all that apply. - ✔✔A
corticosteroid, similar to the type of hormone also produced by the adrenal cortex (outer
layer of the adrenal gland)
A glucocorticoid (a type of corticosteroid) with mainly anti-inflammatory and
immunosuppressant effects
Has minimal fluid and electrolyte balance effects (mineralocorticoid activity)
Is administered orally
Has systemic effects
✔✔For which client should the nurse withhold a new order for prednisone, 60 mg by
mouth once daily, and contact the prescribing healthcare provider? - ✔✔An older adult
with osteoporosis and a fractured hip.
✔✔The nurse working in the trauma intensive care unit (ICU) is reviewing the admission
orders of an older adult admitted with a left leg immobilizer and wounds to the torso,
arms, legs, and feet after a motorcycle crash. Nurses in the emergency department
reported that the wounds were flushed with sterile saline prior to the dressings being
applied. The client's home medications include long-term use of dexamethasone tablets
for an autoimmune disorder and topical cream for eczema. Which admission order
should the nurse question? - ✔✔Discontinue dexamethasone.
✔✔The nurse caring for a client taking prednisone knows that it can exacerbate,
worsen, or precipitate which conditions? Select all that apply. - ✔✔Cardiac disease
Peptic ulcer disease
Infection
Glaucoma
✔✔Which indications for use are common for all nonsteroidal anti-inflammatory drugs
(NSAIDs)? Select all that apply. - ✔✔Relieve pain
Block inflammation
Reduce fevers
✔✔Nonsteroidal anti-inflammatory drugs (NSAIDs) are one of the __________
commonly prescribed drugs on the market. - ✔✔Most