Author Question: The client has been treated with a corticosteroid for the last 3 weeks for a severe inflammatory ... (Read 62 times)

scienceeasy · **on:** Jul 23, 2018

The client has been treated with a corticosteroid for the last 3 weeks for a severe inflammatory response. The condition has improved but is not resolved. The nurse plans care for this client based on what prediction?

1. The dose of the corticosteroid will be increased.
2. The corticosteroid therapy will be discontinued and a nonsteroidal anti-inflammatory drug will be started.
3. The client will be changed to a different corticosteroid.
4. Treatment for the inflammatory response will be discontinued.

Question 2

A client reports taking the herb goldenseal for a sore throat. How should the nurse respond to this information?

1. Goldenseal is not indicated for sore throat.
2. That herb is dangerous and you should not take it.
3. Not many scientific studies have been done on goldenseal.
4. Goldenseal is not recognized as a drug in the United States.

karmakat49 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Corticosteroid therapy is generally used for only 13 weeks.
Rationale 2: After 3 weeks of corticosteroid therapy, the medication is often changed to an NSAID.
Rationale 3: Corticosteroid therapy generally continues for only 13 weeks.
Rationale 4: Even though the condition has improved, it is not resolved. Therapy with an NSAID should continue.
Global Rationale: Should inflammation become severe or disabling, corticosteroid therapy is begun. Due to the potential for serious long-term adverse effects, corticosteroids are usually used for only 1 to 3 weeks to bring inflammation under control. The patient is then switched to NSAIDs.

Answer to Question 2

Correct Answer: 3
Rationale 1: Goldenseal may have some benefit in treating topical infections such as sore throats.
Rationale 2: There is no indication that goldenseal is dangerous.
Rationale 3: Despite its popularity, few controlled research studies have been conducted on goldenseal.
Rationale 4: Goldenseal was recognized as an official drug in the United States Pharmacopeia in 1830.
Global Rationale: Despite its popularity, few controlled research studies have been conducted on goldenseal Human clinical studies suggest that it may have some benefit in treating topical infections such as scrapes and cuts, as well as sore throats and mouth soreness. There is no indication that goldenseal is dangerous. It was