Author Question: When developing a plan of care for the patient receiving a glucocorticoid, what nursing diagnosis ... (Read 58 times)

mcmcdaniel · **on:** Jul 23, 2018

When developing a plan of care for the patient receiving a glucocorticoid, what nursing diagnosis would be of highest priority?

A) Deficient fluid volume related to water retention
B) Risk for injury related to muscle weakness
C) Imbalanced nutrition: less than body requirements
D) Risk for infection related to immunosuppression

Question 2

The nurse is administering morphine to a trauma patient for acute pain. Before administering the morphine, what common adverse effect should the nurse inform the patient about?

A) Paresthesia in lower extremities
B) Occipital headache
C) Increased intracranial pressure
D) Drowsiness

momo1250 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Risk for infection related to immunosuppression would be the appropriate nursing diagnosis because steroids suppress the immune system, which puts the patient at risk for infection. Nutritional imbalance is more likely to be more than body requirements than less than body requirements. Excess fluid volume is more appropriate than deficient fluid volume. Glucocorticoids are not associated with muscle weakness.

Answer to Question 2

D
Feedback:
Common adverse effects include dizziness, drowsiness, and visual changes. Morphine does not commonly cause paresthesia in the lower extremities, an occipital headache, or increased intracranial pressure.