Which adverse effects does the nurse anticipate for a client who ...

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Which adverse effects does the nurse anticipate for a client who is receiving long-term therapy with corticosteroids?(Select all that apply.)
 
  1. Delayed wound healing
  2. Diarrhea
  3. Increased risk for infections
  4. Sodium retention
  5. Hyperglycemia

Question 2

Aside from having potent anti-inflammatory effects, glucocorticoids also promote homeostasis of which system?
 
  1. Reproductive
  2. Gastric
  3. Hematopoietic
  4. Cardiovascular

[LP]

Answer to Question 1

1, 3, 4, 5

Rationale 1:Delayed wound healing can occur from the suppression of the immune response.
Rationale 2: Diarrhea is not an adverse effect related to corticosteroids.
Rationale 3:Increased risk for infections is important to monitor during therapy with corticosteroids.
Rationale 4:Corticosteroids can cause hypernatremia and hypokalemia.
Rationale 5:Hyperglycemia should also be monitored with corticosteroids.

Global Rationale: Significant adverse effects can occur during long-term therapy with corticosteroids. A nurse should instruct about risk for infection and delayed wound healing. Laboratory tests should be obtained especially focusing on sodium, potassium, and blood glucose.

Answer to Question 2

3

Rationale 1:Glucocorticoids do not affect the reproductive system.
Rationale 2:Glucocorticoids do not affect the gastric system.
Rationale 3: Glucocorticoids affect the metabolism of nearly every cell in the body. During stress, these hormones mobilize the formation of glucose and increase the breakdown and use of proteins and lipids. They have a potent anti-inflammatory effect and suppress the immune system, affecting the hematopoietic system.
Rationale 4:Glucocorticoids do not affect the cardiac system.

Global Rationale: Glucocorticoids affect the metabolism of nearly every cell in the body. During stress, these hormones mobilize the formation of glucose and increase the breakdown and use of proteins and lipids. They have a potent anti-inflammatory effect and suppress the immune system, affecting the hematopoietic system.

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