KARCH UPREP (Adrenocortical Agents)
REVISION STUDY QUESTIONS CORRECTLY
ANSWERED FOR EXAM.
Which statement is included in the care plan of a client prescribed
etomidate for Cushing's disease?
Correct Answer -"It blocks the production of cortisol."
Hydrocortisone has been prescribed to a client for the treatment of Addison
disease. What action should the nurse should encourage the client to take
regarding the self-administration of this medication?
Correct Answer -It should be taken before 09:00 each morning.
After teaching a group of students about the effects of mineralocorticoids,
the instructor determines that additional teaching is needed when the
students identify what as an effect?
Correct Answer -Increased calcium retention
A client has suddenly stopped corticosteroid therapy because the
symptoms are now under control. The nurse should assess the client for
signs and symptoms similar to what disorder?
Correct Answer -Addison disease
A 72-year-old woman is on long-term glucocorticoid therapy. It will be most
important for the nurse to instruct the client to:
Correct Answer -take measures to minimize the risk of falls.
,Which assessment finding indicates to the nurse that ketoconazole (Nizoral)
therapy is effective?
Correct Answer -The patient has a decreased blood glucose level.
A nurse is providing health education to a client who will be discharged
home with a prescription for hydrocortisone. What instruction should the
nurse convey to the client?
Correct Answer -"Make sure that you take this medication with food."
The nurse should recognize that atrophy of the adrenal cortex is the result of
what drug therapy?
Correct Answer -mitotane
A 54-year-old woman with a history of asthma is prescribed prednisone to
treat an exacerbation of her condition. The nurse is explaining to the client
how this medication decreases the immune response. What mechanism of
action of the drug causes this?
Correct Answer -Decrease in the number of eosinophils
A nurse is overseeing the care of a young man whose ulcerative colitis is
being treated with oral prednisone. Which action should the nurse take in
order to minimize the potential for risks associated with prednisone
treatment?
Correct Answer -Carefully assess the client for infections.
Which drug, if combined with corticosteroids, would lead to possible toxic
effects?
Correct Answer -Erythromycin
, Which corticosteroid would a nurse identify as having the longest acting
glucocorticoid effects?
Correct Answer -Dexamethasone
Which corticosteroid is classified as a mineralocorticoid?
Correct Answer -aldosterone
The patient being treated for Addison disease that is responding to therapy
would have which assessment finding?
Correct Answer -Stable blood pressure
After teaching a group of students about glucocorticoids, the instructor
determines that the teaching was successful when the students identify
which agent as also possessing some mineralocorticoid effects?
Correct Answer -Hydrocortisone
A female client is to receive hydrocortisone. What adverse effects on
reproduction would the nurse assess? Select all that apply.
Correct Answer -Amenorrhea
Irregular menses
The nurse is caring for a patient who is suspected of having Addison
syndrome. Which sign or symptom would the nurse expect to observe?
Correct Answer -Hyperkalemia
REVISION STUDY QUESTIONS CORRECTLY
ANSWERED FOR EXAM.
Which statement is included in the care plan of a client prescribed
etomidate for Cushing's disease?
Correct Answer -"It blocks the production of cortisol."
Hydrocortisone has been prescribed to a client for the treatment of Addison
disease. What action should the nurse should encourage the client to take
regarding the self-administration of this medication?
Correct Answer -It should be taken before 09:00 each morning.
After teaching a group of students about the effects of mineralocorticoids,
the instructor determines that additional teaching is needed when the
students identify what as an effect?
Correct Answer -Increased calcium retention
A client has suddenly stopped corticosteroid therapy because the
symptoms are now under control. The nurse should assess the client for
signs and symptoms similar to what disorder?
Correct Answer -Addison disease
A 72-year-old woman is on long-term glucocorticoid therapy. It will be most
important for the nurse to instruct the client to:
Correct Answer -take measures to minimize the risk of falls.
,Which assessment finding indicates to the nurse that ketoconazole (Nizoral)
therapy is effective?
Correct Answer -The patient has a decreased blood glucose level.
A nurse is providing health education to a client who will be discharged
home with a prescription for hydrocortisone. What instruction should the
nurse convey to the client?
Correct Answer -"Make sure that you take this medication with food."
The nurse should recognize that atrophy of the adrenal cortex is the result of
what drug therapy?
Correct Answer -mitotane
A 54-year-old woman with a history of asthma is prescribed prednisone to
treat an exacerbation of her condition. The nurse is explaining to the client
how this medication decreases the immune response. What mechanism of
action of the drug causes this?
Correct Answer -Decrease in the number of eosinophils
A nurse is overseeing the care of a young man whose ulcerative colitis is
being treated with oral prednisone. Which action should the nurse take in
order to minimize the potential for risks associated with prednisone
treatment?
Correct Answer -Carefully assess the client for infections.
Which drug, if combined with corticosteroids, would lead to possible toxic
effects?
Correct Answer -Erythromycin
, Which corticosteroid would a nurse identify as having the longest acting
glucocorticoid effects?
Correct Answer -Dexamethasone
Which corticosteroid is classified as a mineralocorticoid?
Correct Answer -aldosterone
The patient being treated for Addison disease that is responding to therapy
would have which assessment finding?
Correct Answer -Stable blood pressure
After teaching a group of students about glucocorticoids, the instructor
determines that the teaching was successful when the students identify
which agent as also possessing some mineralocorticoid effects?
Correct Answer -Hydrocortisone
A female client is to receive hydrocortisone. What adverse effects on
reproduction would the nurse assess? Select all that apply.
Correct Answer -Amenorrhea
Irregular menses
The nurse is caring for a patient who is suspected of having Addison
syndrome. Which sign or symptom would the nurse expect to observe?
Correct Answer -Hyperkalemia
