NSG 322 - EXAM 2 PREDNISONE STUDY GUIDE QUESTIONS

Which of the following is not a primary use of prednisone? a. replacement therapy for adrenal insufficiency b. maintenance of water and electrolyte imbalance c. anti-inflammatory therapy d. immunosuppressant effects - correct answersb. maintenance of water and electrolytes is controlled by mineralcorticoids What is the most dangerous complication of prednisone therapy? a. GI Ulceration b. hyperglycemia c. immune system compromise d. vertigo - correct answersc. this may result in infection, sepsis and death Which of the following body systems is unaffected by the potential complications of long-term prednisone therapy? a. respiratory b. GI c. integumentary d. every system of the body - correct answersa Alternate-day dosing of prednisone may decrease a. drug-drug interactions b. some adverse effects c. sodium loss d. GI distress - correct answersb. but not osteoporosis or cataract formation The nurse should assess pts transitioning from systemic prednisone to an inhaled corticosteroid for symptoms of withdrawal which include: a. malaise, myalgia, nausea, headache and low-grade fever b. nausea, vomiting, diarrhea c. tachycardia and HTN d. hyperactivity, subnormal temperature and myalgia - correct answersa Your 41 y/o pt had a renal transplant today. The pt has been prescribed prednisone. Which of the following nursing actions is most important for this patient: a. monitor for constipation b. take vitals at least 1x/day c. assess for CNS depression d. monitor signs of infection - correct answersd Your 6 y/o pt has severe asthma. The patients moms states "I always feel so much better when my child takes prednisone. Why can't my child just stay on it?" Which is the best response: a. the cost of prednisone therapy is just too high b. long-term therapy could result in short stature for your child c. your child would come home crying because the adverse effects make the face puffy d. it would quit working if you gave it for a long time - correct answersb Your 50 y/o pt is receiving long-term prednisone therapy. Which of the following diet restrictions should this patient follow: a. limit carbonated beverages b. increase potassium c. increase sodium d. decrease protein - correct answersb. the diet plan should include low sodium high potassium Your patient takes prednisone for COPD. This patient should have frequent f/u visits to assess for: a. CHF and headaches b. hyperglycemia and osteoporosis c. weight loss and hypoglycemia d. dermatitis and headaches - correct answersb Your patient has adrenal insufficiency and is starting daily dose of prednisone. Which of the following instructions is appropriate: a. take your medication at bedtime b. take one pill 6x a day c. take your medication whenever you remember it d. take your medication early in the AM - correct answersd Your pt takes prednisone for adrenal insufficiency. The pt is admitted to the hospital after a serious motor vehicle accident with multiple fractures and blunt head trauma. During hospitalization the patient's prednisone may need to: a. increase b. decrease c. stay the same - correct answersa Your pt is taking oral prednisone after a kidney transplant. To minimize adverse effects you should: a. admin the drug on an empty stomach b. admin with milk or food c. decrease dose in times of physical stress d. decrease dose if proton pump inhibitors are prescribed - correct answersb. Can be hard on the stomach and cause peptic ulcers What is a contraindication of prednisone? a. T2DM