This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse is caring for a client who was prescribed high-dose corticosteroid therapy for 1 month to ... (Read 64 times)

penza

  • Hero Member
  • *****
  • Posts: 1,022
on: Jun 25, 2018
A nurse is caring for a client who was prescribed high-dose corticosteroid therapy for 1 month to treat a severe inflammatory condition. The client's symptoms have now resolved and the client asks, When can I stop taking these medications?
 
  How should the nurse respond?
  a.
  It is possible for the inflammation to recur if you stop the medication.
  b.
  Once you start corticosteroids, you have to be weaned off them.
  c.
  You must decrease the dose slowly so your hormones will work again.
  d.
  The drug suppresses your immune system, which must be built back up.

Question 2

A nurse cares for a client with adrenal hyperfunction. The client screams at her husband, bursts into tears, and throws her water pitcher against the wall. She then tells the nurse, I feel like I am going crazy. How should the nurse respond?
 
  a. I will ask your doctor to order a psychiatric consult for you.
  b. You feel this way because of your hormone levels.
  c. Can I bring you information about support groups?
  d. I will close the door to your room and restrict visitors.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

diana chang

  • Sr. Member
  • ****
  • Posts: 288
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
One of the most common causes of adrenal insufficiency, a life-threatening problem, is the sudden cessation of long-term, high-dose corticosteroid therapy. This therapy suppresses the hypothalamic-pituitary-adrenal axis and must be withdrawn gradually to allow for pituitary production of adrenocorticotropic hormone and adrenal production of cortisol. Decreasing hormone therapy slowly ensures self-production of hormone, not hormone effectiveness. Building the client's immune system and rebound inflammation are not concerns related to stopping high-dose corticosteroids.

Answer to Question 2

ANS: B
Hypercortisolism can cause the client to show neurotic or psychotic behavior. The client needs to know that these behavior changes do not reflect a true psychiatric disorder and will resolve when therapy results in lower and steadier blood cortisol levels. The client needs to understand this effect and does not need a psychiatrist, support groups, or restricted visitors at this time.


penza

  • Member
  • Posts: 1,022
Reply 2 on: Jun 25, 2018
YES! Correct, THANKS for helping me on my review

Liddy

  • Member
  • Posts: 342
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Serum cholesterol testing in adults is recommended every 1 to 5 years. People with diabetes and a family history of high cholesterol should be tested even more frequently.

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

Did you know?

Though “Krazy Glue” or “Super Glue” has the ability to seal small wounds, it is not recommended for this purpose since it contains many substances that should not enter the body through the skin, and may be harmful.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Inhalation medication administration. Photograph of a young girl using a metered-dose inhaler. Inhalation medication administration. Photograph of a young girl using a metered-dose inhaler.
Under what conditions can part-time employment in high school be a negative influence on school ... Under what conditions can part-time employment in high school be a negative influence on school ...
Types of Policies Important for a Massage Therapy Practice Types of Policies Important for a Massage Therapy Practice
Ex vivo and in vivo gene therapy for a patient with a liver disorder Ex vivo and in vivo gene therapy for a patient with a liver disorder
Response of corn selected for high and low oil content over 76 generations Response of corn selected for high and low oil content over 76 generations
Chalk cliffs 90 meters (300 feet) high along the shore in Dover, England, were once seafloor Chalk cliffs 90 meters (300 feet) high along the shore in Dover, England, were once seafloor
Video: Cell mediated immune response to a viral infection Animation

For a complete list of videos, visit our video library