Author Question: Which teaching tips should be included when instructing parents on hydrocortisone administration? ... (Read 78 times)

nenivikky · **on:** Jun 28, 2018

Which teaching tips should be included when instructing parents on hydrocortisone administration?

1. Maintain prescribed administration times.
2. Never discontinue medication abruptly.
3. Injections might be necessary when unable to take by mouth.
4. Lower doses are needed during illness.
5. Keep an emergency kit with the child at all times.

Question 2

The nurse is administering a dose of rapid-acting insulin at 0800 to an insulin-dependent pediatric client. Based on when the insulin peaks, when will the client be at greatest risk for a hypoglycemic episode?

1. At about noon
2. Between bedtime and breakfast the next morning
3. Between lunch and dinner
4. Around 0930

meganmoser117 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1,2,3,5
Rationale: Maintaining prescribed administration times is important, as they follow the normal body release of cortisol. Abruptly discontinuing a steroid is not recommended. Giving injections when unable to take by mouth and during emergencies is important to maintain cortisol levels. Higher, not lower, doses are needed during illness.

Answer to Question 2

Correct Answer: 4
Rationale: Rapid-acting insulin peaks 3090 minutes after administration. An injection given at 0800 would peak around 0930.