NR 566 week 3 and 4 (Latest )
Advanced Pharmacology for Care of the
Family Questions & Answers {Grade A}
100% Correct – Chamberlain
A clinic patient who has been taking a glucocorticoid for arthritis for several months
remarks to the nurse, "It is a good thing my symptoms are better, because my mother
has been quite ill, and I have to take care of her." The patient's blood pressure is 100/60
mm Hg. The nurse will report this to the provider and ask about:
reducing the patient's dose.
using every-other-day dosing.
increasing the patient's dose.
tapering the dose. - Correct answer increasing the patient's dose.
A woman who is breastfeeding is prescribed a low pharmacologic dose of a
glucocorticoid and asks the nurse about potential effects on her infant. What will the
nurse tell her about this medication?
"At this dose, the concentration in your breast milk is safe."
"Contact your provider to discuss lowering the dose."
,"There will be reversible side effects for your baby."
"This drug is likely to cause growth retardation in your baby." - Correct answer "At this
dose, the concentration in your breast milk is safe."
A patient who is a long-distance runner has been diagnosed with rheumatoid arthritis
in both knees and will begin glucocorticoid therapy. When teaching the patient about
the medication, the nurse will include what information?
"By reducing inflammation, this drug will slow the progression of your disease."
"Glucocorticoids are used as adjunctive therapy during acute flare-ups."
"Oral glucocorticoids cause less toxicity than intra-articular injections."
"You may resume running when the pain and swelling improve." - Correct answer
"Glucocorticoids are used as adjunctive therapy during acute flare-ups."
A patient who has been taking a glucocorticoid for several months arrives in the clinic.
The nurse notes that the patient's cheeks appear full and that a prominent hump of fat
is present on the upper back. The nurse will ask the provider to order which test(s)?
Liver function tests
Serum electrolytes
,Tuberculin skin test
Vitamin D levels - Correct answer Serum electrolytes
A patient is about to receive prednisone for tendonitis. The nurse reviewing the chart
would be concerned about which of the following in the patient's medical history?
Asthma and allergic rhinitis
Gouty arthritis
Seborrheic dermatitis
Systemic fungal infection - Correct answer Systemic fungal infection
A patient taking a glucocorticoid for arthritis reports feeling bloated. The nurse notes
edema of the patient's hands and feet. Which action by the nurse is correct?
Ask the patient about sodium intake.
Obtain a blood glucose level.
Suggest the patient limit potassium intake.
Tell the patient to stop taking the drug. - Correct answer Ask the patient about sodium
intake.
, A child is to begin long-term glucocorticoid therapy. The parents ask the nurse about
the effects of this drug on the child's growth. Which response by the nurse is correct?
"A smaller dose may be indicated for your child."
"Ask your provider about every-other-day dosing."
"Long-acting glucocorticoid preparations should prevent growth suppression."
"Oral glucocorticoids rarely cause growth suppression." - Correct answer "Ask your
provider about every-other-day dosing."
A patient who has arthritis has been taking ibuprofen [Motrin] and a glucocorticoid
medication. The patient reports having tarry stools but denies gastric pain. Which
action by the nurse is correct?
Contact the provider to discuss ordering an antiulcer medication.
Counsel the patient to use over-the-counter antacids.
Reassure the patient not to worry unless there is gastric pain.
Tell the patient to stop taking the glucocorticoid immediately. - Correct answer Contact
the provider to discuss ordering an antiulcer medication.
Advanced Pharmacology for Care of the
Family Questions & Answers {Grade A}
100% Correct – Chamberlain
A clinic patient who has been taking a glucocorticoid for arthritis for several months
remarks to the nurse, "It is a good thing my symptoms are better, because my mother
has been quite ill, and I have to take care of her." The patient's blood pressure is 100/60
mm Hg. The nurse will report this to the provider and ask about:
reducing the patient's dose.
using every-other-day dosing.
increasing the patient's dose.
tapering the dose. - Correct answer increasing the patient's dose.
A woman who is breastfeeding is prescribed a low pharmacologic dose of a
glucocorticoid and asks the nurse about potential effects on her infant. What will the
nurse tell her about this medication?
"At this dose, the concentration in your breast milk is safe."
"Contact your provider to discuss lowering the dose."
,"There will be reversible side effects for your baby."
"This drug is likely to cause growth retardation in your baby." - Correct answer "At this
dose, the concentration in your breast milk is safe."
A patient who is a long-distance runner has been diagnosed with rheumatoid arthritis
in both knees and will begin glucocorticoid therapy. When teaching the patient about
the medication, the nurse will include what information?
"By reducing inflammation, this drug will slow the progression of your disease."
"Glucocorticoids are used as adjunctive therapy during acute flare-ups."
"Oral glucocorticoids cause less toxicity than intra-articular injections."
"You may resume running when the pain and swelling improve." - Correct answer
"Glucocorticoids are used as adjunctive therapy during acute flare-ups."
A patient who has been taking a glucocorticoid for several months arrives in the clinic.
The nurse notes that the patient's cheeks appear full and that a prominent hump of fat
is present on the upper back. The nurse will ask the provider to order which test(s)?
Liver function tests
Serum electrolytes
,Tuberculin skin test
Vitamin D levels - Correct answer Serum electrolytes
A patient is about to receive prednisone for tendonitis. The nurse reviewing the chart
would be concerned about which of the following in the patient's medical history?
Asthma and allergic rhinitis
Gouty arthritis
Seborrheic dermatitis
Systemic fungal infection - Correct answer Systemic fungal infection
A patient taking a glucocorticoid for arthritis reports feeling bloated. The nurse notes
edema of the patient's hands and feet. Which action by the nurse is correct?
Ask the patient about sodium intake.
Obtain a blood glucose level.
Suggest the patient limit potassium intake.
Tell the patient to stop taking the drug. - Correct answer Ask the patient about sodium
intake.
, A child is to begin long-term glucocorticoid therapy. The parents ask the nurse about
the effects of this drug on the child's growth. Which response by the nurse is correct?
"A smaller dose may be indicated for your child."
"Ask your provider about every-other-day dosing."
"Long-acting glucocorticoid preparations should prevent growth suppression."
"Oral glucocorticoids rarely cause growth suppression." - Correct answer "Ask your
provider about every-other-day dosing."
A patient who has arthritis has been taking ibuprofen [Motrin] and a glucocorticoid
medication. The patient reports having tarry stools but denies gastric pain. Which
action by the nurse is correct?
Contact the provider to discuss ordering an antiulcer medication.
Counsel the patient to use over-the-counter antacids.
Reassure the patient not to worry unless there is gastric pain.
Tell the patient to stop taking the glucocorticoid immediately. - Correct answer Contact
the provider to discuss ordering an antiulcer medication.
