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 90 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
Thanks for the timely response, appreciate it


peter

  • Member
  • Posts: 330
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

 

Did you know?

More than 20 million Americans cite use of marijuana within the past 30 days, according to the National Survey on Drug Use and Health (NSDUH). More than 8 million admit to using it almost every day.

Did you know?

Egg cells are about the size of a grain of sand. They are formed inside of a female's ovaries before she is even born.

Did you know?

Common abbreviations that cause medication errors include U (unit), mg (milligram), QD (every day), SC (subcutaneous), TIW (three times per week), D/C (discharge or discontinue), HS (at bedtime or "hours of sleep"), cc (cubic centimeters), and AU (each ear).

Did you know?

One way to reduce acid reflux is to lose two or three pounds. Most people lose weight in the belly area first when they increase exercise, meaning that heartburn can be reduced quickly by this method.

Did you know?

Everyone has one nostril that is larger than the other.

For a complete list of videos, visit our video library