The nurse anticipates an order for a glucocorticoid when caring ...

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The nurse anticipates an order for a glucocorticoid when caring for a patient with what condition?
 
  A) Hypoglycemia
  B) Appendicitis
  C) Arthritis
  D) Septicemia

Question 2

What order for naloxone would be appropriate for the nurse to administer for reversal of opioid effects?
 
  A) 1 mg IV repeat every 2 to 3 minutes
  B) 5 mg IV repeat every 5 minutes
  C) 0.1 mg IV repeat every 2 to 3 minutes
  D) 0.4 mg IV repeat every 3 minutes

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Answer to Question 1

C
Feedback:
Glucocorticoids are indicated for the short-term treatment of many inflammatory disorders, to relieve discomfort, and to give the body a chance to heal from the effects of inflammation. They block the actions of arachidonic acid, which leads to a decrease in the formation of prostaglandins and leukotrienes. Without these chemicals, the normal inflammatory reaction is blocked. Hypoglycemia would more safely be treated with glucose. Appendicitis and septicemia are infections that would contraindicate the use of glucocorticoids because of the immunosuppressant effects of the drugs.

Answer to Question 2

C
Feedback:
0.1 to 0.2 mg is given IV and then repeated every 2 to 3 minutes for reversal of opioid effects. If the patient has overdosed on opioids the dose would be 0.4 to 2 mg every 2 to 3 minutes. The other options are incorrect.

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