Question

for the NCLEX Examination! Re s are potent agents that produce many benefits as well as undesirable adverse nurse is explaining to the patient the reason for Durinosteroids to be prescribed for rheumatoid arthrtis , Corticosteroids the teach-back session, this response by the Many of the adverse to dosage anf heart failure Nurses can e effects of the steroids are related patient indicates that further teaching is 1. "I know that I can't overdo activity, duration of therapy. These drugs must a aution in patients with diabetes mellitus, needed: even though I 0 used Witr nvpertension, peptic ulcer disease, mental may be feeling less pain with the prednisone and suspected infections. 2. When I take this drug. I can gain water weight, so I need to weigh myself every day 3. 1 should let my doctor know if I get a sore throat a significant role in helping patients Nurses therapy and can assist them in seeking medical fever, and start to feel crummy. 4. "1 know that this drug will cure my arthritis. or therapy and earliest signs of impending trouble. 4. Patients receiving a corticosteroid should be al Learning Resources to your Study Guide for additional Review Ques- questioned regarding any history of these disorders. 1. Gastric ulcers 2. Blood dyscrasias 3. Heart disease 4. Respiratory disease nsns and other learning activities to help you master 5. These two types of electi for the NCLEX® nis chapter content likely to be caused by corticosteroids. olve Go to your Evolve website (http://evolve com/Clayton) for additional online resources. 2. Hypokalemia and 4 Hypocalcemia and hypomagnesemia Questions for the NCLEX Examination alocorticoids have the following actions in the 6. A 35-year-old prediabetic patient was prescribed prednisone 20 mg daily. The nurse knows that this may induce which condition? 1. Hypoglycemia 2. Hyperglycemia body and are used to: 1. regulate serum glucose levels. 2. maintain fluid and electrolyte balance. 3. treat hyperpituitarism. 4. regulate body temperature. 3. Insulin resistance 4. No effects 7. Steroid replacement therapy needs to be gradually discontinued in small increments because: 1. this will maintain a more normal body rhythm. 2. this will lessen the risk of adverse effects. 3. this will ensure that the patient's adrenal glands are 2 Glucocorticoids regulate carbohydrate, protein, and fat metabolism and have the following properties. (Select all that apply.) 1. Antinfiammatory 2. Antiallergenic 3. Immunosuppressant 4. Antihypertensive 5. Antipyretic able to start secreting steroids appropriately. 4. this will decrease the risk of electrolyte imbalance.

Answer 1

1.2. Mineralcorticoids is a hormone which is synthesized by the adrenal cortex, It plays an important role in maintaining fluids and electrolytes. Therefore the correct answer would be to maintain fluid and electrolyte balance.

2.1,2,3. Glucocorticoids is a group of drug which belongs to the steroid hormones, it helps in reducing the inflammation and suppresses immune system because of which it is indicated in patients with auto immune diseases or disorders. Therefore the correct answer would be anti-inflammatory, anti-allergenic and immuno - suppressant. The reason why it also acts as anti-allergenic is because during the allergic reaction the immune system releases certain antibodies to fight the foreign bodies therefore glucocoritcoids is administered in ordered to reduce the inflammation.

3. 3. The nurse will immediately know the patient needs more education after the patient says that he/she should call doctor for sore throat, fever and crummy feeling, as corticosteroids itself is given to treat such cases.

4. 1. Before corticosteroid is administered to the patient, one should take the medical history of the patient as one of the adverse effect of corticosteroid is GI bleeding or risk of developing peptic ulcer.