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

Author Question: A patient taking high doses of a glucocorticoid develops weakness in the muscles of the upper arms ... (Read 19 times)

evelyn o bentley

  • Hero Member
  • *****
  • Posts: 564
on: Jul 23, 2018
A patient taking high doses of a glucocorticoid develops weakness in the muscles of the upper arms and in the legs. What will the nurse do?
 
  a. Contact the provider to ask about reducing the dose.
  b. Encourage the patient to restrict sodium intake.
  c. Reassure the patient that this is an expected side effect.
  d. Tell the patient to stop taking the drug.

Question 2

A patient taking a glucocorticoid for arthritis reports feeling bloated. The nurse notes edema of the patient's hands and feet. Which action by the nurse is correct?
 
  a. Ask the patient about sodium intake.
  b. Obtain a blood glucose level.
  c. Suggest the patient limit potassium intake.
  d. Tell the patient to stop taking the drug.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

isabelt_18

  • Sr. Member
  • ****
  • Posts: 342
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
High-dose glucocorticoid therapy can cause myopathy, manifesting as weakness. If muscle weakness occurs, the dose should be reduced. Reducing the sodium intake is recommended to minimize sodium and water retention. Muscle weakness is not an expected side effect, because it indicates myopathy. It is incorrect to tell the patient to stop taking the drug, because a glucocorticoid must be withdrawn slowly to allow time for recovery of adrenal function.

Answer to Question 2

ANS: A
Because of their mineralocorticoid activity, glucocorticoids can cause sodium and water retention and potassium loss. Asking about the sodium intake can help the nurse evaluate this patient. Although glucocorticoids can affect glucose tolerance, this patient does not have signs of hyperglycemia. Patients with sodium and water retention should be encouraged to increase their potassium intake. Telling a patient to stop taking the drug is incorrect, because a glucocorticoid must be withdrawn slowly to allow time for recovery of adrenal function.


evelyn o bentley

  • Member
  • Posts: 564
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

dawsa925

  • Member
  • Posts: 326
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Opium has influenced much of the world's most popular literature. The following authors were all opium users, of varying degrees: Lewis Carroll, Charles, Dickens, Arthur Conan Doyle, and Oscar Wilde.

Did you know?

Asthma-like symptoms were first recorded about 3,500 years ago in Egypt. The first manuscript specifically written about asthma was in the year 1190, describing a condition characterized by sudden breathlessness. The treatments listed in this manuscript include chicken soup, herbs, and sexual abstinence.

Did you know?

A strange skin disease referred to as Morgellons has occurred in the southern United States and in California. Symptoms include slowly healing sores, joint pain, persistent fatigue, and a sensation of things crawling through the skin. Another symptom is strange-looking, threadlike extrusions coming out of the skin.

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?

Atropine, along with scopolamine and hyoscyamine, is found in the Datura stramonium plant, which gives hallucinogenic effects and is also known as locoweed.

Major Cervical Muscles Major Cervical Muscles
The anatomical position: standing erect, gazing straight ahead, arms down at sides, palms facing for The anatomical position: standing erect, gazing straight ahead, arms down at sides, palms facing for
Patient teaching: female breast assessment Patient teaching: female breast assessment
Helping maintain accurate patient records is a critical part of the medical assistant's work. Helping maintain accurate patient records is a critical part of the medical assistant's work.
Effective listening skills demonstrate empathy to the patient and break down barriers to communicati Effective listening skills demonstrate empathy to the patient and break down barriers to communicati
Algorithm for assessing a patient at risk for self-directed violence. Algorithm for assessing a patient at risk for self-directed violence.
Video: How does asthma work?And How do you treat asthma?

For a complete list of videos, visit our video library