Chapter 33 - Adrenal Drugs

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Chapter 33 - Adrenal Drugs
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1

A pediatric patient has been prescribed methylprednisolone (Solu-Medrol) for an allergic response to food. The dose prescribed is 0.5 mg/kg IV every 6 hours. The patient's weight is 11.4 kg. How much will the nurse administer for one dose?

5.7 mg

2

Based on the nurse’s knowledge of glucocorticoids, what instructions should be given for this drug?

  1. Advise that the drug does not have to be tapered before stopped.
  2. Inform the patient that the drug can be taken with coffee.
  3. Take the medication every evening.
  4. Advise to take drug with milk, other dairy products, or food.

D. Advise to take drug with milk, other dairy products, or food.

3

When discussing glucocorticoids to a patient, what statement by the nurse is accurate regarding the action of these medications?

  1. They are produced in lower amounts during times of stress.
  2. They decrease serum sodium and glucose levels.
  3. They regulate carbohydrate, fat, and protein metabolism.
  4. They stimulate defense mechanisms to produce immunity.

C. They regulate carbohydrate, fat, and protein metabolism.

4

The nurse would question a prescription for steroids in a patient with which condition?

  1. Rheumatoid arthritis
  2. Diabetes mellitus
  3. Asthma
  4. Spinal cord injury

B. Diabetes mellitus

5

When assessing for potential adverse effects of fludrocortisone (Florinef), the nurse monitors for signs and symptoms of which condition?

  1. Hypovolemia
  2. Hyponatremia
  3. Hypercalcemia
  4. Hypokalemia

D. Hypokalemia

6

Discharge teaching for a patient receiving glucocorticoids would include the use of which medication for pain management?

  1. Naprosyn (Naproxen)
  2. Aspirin (Acetylsalicylic acid)
  3. Ibuprofen
  4. Acetaminophen (Tylenol)

D. Acetaminophen (Tylenol)

7

The nurse should question a prescription for aminoglutethimide (Cytadren) in a patient with which condition?

  1. Metastatic breast cancer
  2. Addison’s disease
  3. Cushing’s syndrome
  4. Adrenal malignancy

B. Addison’s disease

8

To prevent the development of oral candidiasis when using corticosteroid inhalers, which instruction is MOST important for the nurse to teach the patient?

  1. Report any gingival irritation to the health care provider.
  2. Swish and swallow with Mycostatin after each use.
  3. Minimize use of an inhaler to every other day.
  4. Rinse the mouth after each use.

D. Rinse the mouth after each use.

9

The nurse has a prescription for a patient to receive prednisone (Deltasone) to treat contact dermatitis. The nurse would question this prescription for this patient with what condition?

  1. Multiple sclerosis
  2. Chronic obstructive pulmonary disease
  3. Acquired immune deficiency syndrome (AIDS)
  4. Asthma

C. Acquired immune deficiency syndrome (AIDS)

10

Which conditions is aminoglutethimide (Cytadren) used to treat? Select all that apply.

  1. Cushing’s syndrome
  2. Metastatic breast cancer
  3. Testicular cancer
  4. Thyroid cancer
  5. Adrenal cancer

A. Cushing’s syndrome

B. Metastatic breast cancer

D. Thyroid cancer