Author Question: A client is taking long-term corticosteroid therapy for adrenal insufficiency. Which medication ... (Read 101 times)

rayancarla1 · **on:** Jul 23, 2018

A client is taking long-term corticosteroid therapy for adrenal insufficiency. Which medication would be recommended for the relief of minor aches and pains?

1. Ibuprofen (Motrin)
2. Ketorolac (Toradol)
3. Acetaminophen (Tylenol)
4. Aspirin (Bayer)

Question 2

A client with diabetes is prescribed prednisone for acute asthma exacerbation. The client asks if this medication will affect the blood sugar. The nurse's best response is:

1. Your blood sugar might drop unexpectedly.
2. Your blood sugar will be unaffected.
3. Your blood sugar might be elevated.
4. Would you like to speak to the health care provider about this?

mcni194 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: This client is at risk for peptic ulcer disease. NSAIDs should be avoided.
Rationale 2: This client is at risk for peptic ulcer disease. NSAIDs should be avoided.
Rationale 3: Acetaminophen is an analgesic that will not inhibit the production of protective prostaglandins.
Rationale 4: This client is at risk for peptic ulcer disease. NSAIDs should be avoided.
Global Rationale: Prolonged corticosteroid use is associated with the development of peptic ulcers, especially when these drugs are combined with nonsteroidal anti-inflammatory drugs (NSAIDs). Ibuprofen, detorolac, and aspirin should be avoided. Acetaminophen is an analgesic that will not inhibit the production of protective prostaglandins.

Answer to Question 2

Correct Answer: 3
Rationale 1: An unexpected drop in blood glucose is not a property associated with corticosteroid medications.
Rationale 2: Prednisone does affect blood glucose level.
Rationale 3: Administration of corticosteroids, such as prednisone, is likely to cause an increase in blood glucose levels. The client should check blood glucose levels more frequently and report abnormal values to the health care provider.
Rationale 4: The nurse can provide, and should be providing, client teaching. The health care provider does not need to be contacted to answer this question.
Global Rationale: Administration of corticosteroids, such as prednisone, is likely to cause an increase in blood glucose levels. The client should check blood glucose levels more frequently and report abnormal values to the health care provider. The nurse can provide, and should be providing, client teaching. The health care provider does not need to be contacted to answer this question.