Author Question: The nurse should question a prescription for high-dose corticosteroids for a patient with a. ... (Read 53 times)

shenderson6 · **on:** Jul 23, 2018

The nurse should question a prescription for high-dose corticosteroids for a patient with

a. uncontrolled diabetes mellitus.
b. rheumatoid arthritis.
c. status asthmaticus.
d. exacerbation of chronic obstructive pulmonary disease (COPD).

Question 2

A patient admitted to the intensive care unit (ICU) is being treated with both verapamil (Calan) and digoxin (Lanoxin).

A nurse is aware that the patient should be monitored for which of the following effects from concurrent use of these medications? a. Decreased digoxin levels
b. Digoxin toxicity
c. Decreased verapamil effect
d. Verapamil toxicity

Qarqy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
High-dose steroids would further complicate a hyperglycemic state.
High-dose corticosteroids are used in rheumatoid arthritis.
High-dose corticosteroids are used in status asthmaticus.
High-dose corticosteroids are used for an exacerbation of COPD.

Answer to Question 2

B
Verapamil increases plasma levels of digoxin by approximately 60, thereby increasing the risk of digoxin toxicity.
Digoxin levels are increased, not decreased, when the drug is used concurrently with verapamil.
No changes occur in the effects of verapamil, including toxicity, when it is administered concur-rently with digoxin.