A pregnant client asks why a steroid medication cannot be used ...

[future617RT]

A pregnant client asks why a steroid medication cannot be used for an allergic skin disorder. The nurse's most accurate response is:
 
  1. Steroids have the potential to cross the placenta, and should be avoided during pregnancy.
  2. The cause of your skin disorder is directly linked to your pregnancy. After you deliver, your skin should get better.
  3. Steroids will likely cause you to have an abortion; you'll have to put up with your skin disorder until after delivery.
  4. Steroids can cause liver failure, and are not recommended at this time.

Question 2

A client has sustained a traumatic head injury with trauma to the hypothalamus. The nurse recognizes that which endocrine regulatory factor will be most affected?
 
  1. Colony-stimulating factor
  2. Von Willebrand factor
  3. Factor VIII
  4. Corticotropin-releasing factor

[rachel]

Answer to Question 1

Correct Answer: 1
Rationale 1: Steroids have the potential to cross the placenta, and should be avoided in pregnancy and lactation.
Rationale 2: The client's skin disorder is not linked to the pregnancy.
Rationale 3: Steroids do not cause spontaneous abortions.
Rationale 4: Pregnancy does not increase risk of liver damage from steroids.
Global Rationale: Steroids have the potential to cross the placenta and are secreted in breast milk. They should be avoided in pregnancy and lactation. The skin disorder is not linked to the pregnancy. Steroids do not cause spontaneous abortions and being pregnant does not increase risk of liver damage from steroids.

Answer to Question 2

Correct Answer: 4
Rationale 1: Colony-stimulating factor is not produced in the hypothalamus.
Rationale 2: Von Willebrand factor is not produced by the hypothalamus.
Rationale 3: Factor VIII is not produced by the hypothalamus.
Rationale 4: Corticotropin-releasing factor is secreted by the hypothalamus, and could be affected by trauma to the hypothalamus.
Global Rationale: Corticotropin-releasing factor is secreted by the hypothalamus, and could be affected by trauma to the hypothalamus. The remaining factors are not produced by the hypothalamus.

[future617RT]

Thanks

[rachel]

Welcome