This topic contains a solution. Click here to go to the answer

Author Question: A client on long-term corticosteroid therapy is demonstrating signs of acute adrenocortical ... (Read 84 times)

nautica902

  • Hero Member
  • *****
  • Posts: 591
A client on long-term corticosteroid therapy is demonstrating signs of acute adrenocortical insufficiency. The nurse knows that these symptoms are caused by:
 
  Standard Text: Select all that apply.
  1. the shutting down of ACTH secretion.
  2. the failure of the adrenal cortex to secrete corticosteroids.
  3. rebound ACTH secretion.
  4. excessive secretion of ACTH.
  5. toxic levels of mineralocorticoids.

Question 2

The nurse instructs a client receiving long-term corticosteroid replacement therapy to have annual eye examinations because of the risk of developing:
 
  Standard Text: Select all that apply.
  1. glaucoma.
  2. cataracts.
  3. detached retina.
  4. retinopathy.
  5. macular degeneration.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

AaaA

  • Sr. Member
  • ****
  • Posts: 339
Answer to Question 1

Correct Answer: 1,2
Rationale 1: Consistent high amounts of corticosteroid medications provide continuous negative feedback to the hypothalamus and pituitary, shutting down the secretion of ACTH.
Rationale 2: Without stimulation by ACTH, the adrenal cortex shrinks and stops secreting endogenous corticosteroids.
Rationale 3: Acute adrenocortical insufficiency is not caused by rebound ACTH secretion.
Rationale 4: Acute adrenocortical insufficiency is not caused by excessive secretion of ACTH.
Rationale 5: Mineralocorticoids do not cause acute adrenal insufficiency.
Global Rationale: Consistent high amounts of corticosteroid medications provide continuous negative feedback to the hypothalamus and pituitary, shutting down the secretion of ACTH. Without stimulation by ACTH, the adrenal cortex shrinks and stops secreting endogenous corticosteroids. Acute adrenocortical insufficiency is not caused by rebound ACTH secretion, by excessive secretion of ACTH, or by mineralocorticoid levels.

Answer to Question 2

Correct Answer: 1,2
Rationale 1: Open-angle glaucoma is a frequent adverse effect of long-term corticosteroid therapy.
Rationale 2: Cataracts are a frequent adverse effect of long-term corticosteroid therapy.
Rationale 3: Detached retina is not an adverse effect of long-term corticosteroid therapy.
Rationale 4: Retinopathy is not an adverse effect of long-term corticosteroid therapy, although it might occur as an effect of uncontrolled blood glucose levels, as seen in diabetes mellitus.
Rationale 5: Macular degeneration is not an adverse effect of long-term corticosteroid therapy.
Global Rationale: Open-angle glaucoma and cataracts are frequent adverse effects of long-term corticosteroid therapy. Retinopathy is not an adverse effect of long-term corticosteroid therapy, although it might occur as an effect of uncontrolled blood glucose levels, as seen in diabetes mellitus. Macular degeneration and detached retina are not adverse effects of long-term corticosteroid therapy.




nautica902

  • Member
  • Posts: 591
Reply 2 on: Jul 23, 2018
Gracias!


recede

  • Member
  • Posts: 315
Reply 3 on: Yesterday
Excellent

 

Did you know?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

Did you know?

Addicts to opiates often avoid treatment because they are afraid of withdrawal. Though unpleasant, with proper management, withdrawal is rarely fatal and passes relatively quickly.

Did you know?

In 1885, the Lloyd Manufacturing Company of Albany, New York, promoted and sold "Cocaine Toothache Drops" at 15 cents per bottle! In 1914, the Harrison Narcotic Act brought the sale and distribution of this drug under federal control.

Did you know?

Patients who have been on total parenteral nutrition for more than a few days may need to have foods gradually reintroduced to give the digestive tract time to start working again.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

For a complete list of videos, visit our video library