Author Question: The nurse administers fludrocortisone (Florinef) to a patient diagnosed with salt-losing ... (Read 38 times)

moongchi · **on:** Jul 23, 2018

The nurse administers fludrocortisone (Florinef) to a patient diagnosed with salt-losing adrenogenital syndrome and then assesses for what therapeutic action?

A) Development of hypokalemia and elevated serum glucose level
B) An increase in sodium and water reabsorption and potassium excretion
C) Headache, edema, weakness, arrhythmias, and hypertension
D) Sodium and water depletion along with potassium retention

Question 2

What is chrysotherapy?

A) Treatment with antimalarials
B) Treatment with salicylates
C) Treatment with disease-modifying antirheumatic drugs (DMARDs)
D) Treatment with gold salts

kswal303 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Fludrocortisone's therapeutic effects include an increase in sodium and water reabsorption with potassium excretion. Headache, edema, weakness, arrhythmias, and hypertension are adverse, and not therapeutic, effects. Hypokalemia is possible but glucose levels should not be impacted.

Answer to Question 2

D
Feedback:
Chrysotherapy is the clinical name for treatment with gold salts in which gold is taken up by macrophages, which then inhibit phagocytosis. It is reserved for use in patients who are unresponsive to conventional therapy and can be very toxic. Options A, B, and C are incorrect.