Exam 38: Corticosteroids

The nurse is instructing a patient about adverse effects associated with corticosteroid therapy.What information would be important to include? (Select all that apply.)

Which condition would require mineralocorticoid replacement?

A patient has been on high dose corticosteroid therapy for the treatment of lupus erythematosus.In addition to monitoring electrolyte levels, which laboratory studies will the nurse monitor?

A patient has been diagnosed with rheumatoid arthritis and will begin daily oral corticosteroid treatment.Which baseline assessment(s) would be important for a patient receiving corticosteroids? (Select all that apply.)

Which will the nurse include in the teaching plan for a patient asking about the use of salt substitutes while on a sodium restricted diet?

What is the rationale for administering glucocorticoid therapy as an adjunct to chemotherapeutic agents?

A patient has just received a new prescription for a corticosteroid medication.The nurse is educating a patient on symptoms to report to the health care provider.When providing this education, the nurse will inform the patient to report: (Select all that apply.)

What are functions of glucocorticoids? (Select all that apply.)

A patient with type 1 diabetes was prescribed a glucocorticoid for chronic obstructive pulmonary disease.Which will the nurse expect in the treatment plan?

Which statement(s) made by a patient on a corticosteroid medication show(s) a need for further education?

The nurse is assessing a patient for adverse effects of long term glucocorticoid therapy.Which condition would most likely be present?

What is the rationale for monitoring vital signs of patients receiving corticosteroids?

A patient who has been taking glucocorticoids over the past 3 months for Crohn's disease comes in for a follow up visit.On assessment, the nurse notes facial edema, thinning extremities, and a fatty deposition (buffalo hump) on the scapular area.The patient reports the symptoms of the Crohn's disease are "somewhat better." What will the nurse expect the treatment to be?

The nurse transcribes a new order for a patient for a fludrocortisone.When planning the time of administration, the nurse will schedule this medication to be given:

What would be primary therapeutic outcome(s) expected from fludrocortisone (Florinef) therapy? (Select all that apply.)

A patient on a high dosage of corticosteroids over a period of time may develop which type of psychiatric complication?

Which measure(s) for monitoring hydration and fluid balance would be inappropriate for the patient on steroid therapy? (Select all that apply.)

Which fluid replacement method will the nurse identify for a patient on a fluid restriction?

A patient with type 2 diabetes is being discharged on glucocorticoid (prednisone) therapy for rheumatoid arthritis.Which information will the nurse include in discharge teaching? (Select all that apply.)