This topic contains a solution. Click here to go to the answer

Author Question: What would the nurse expect to assess in a client who has been taking long-term corticosteroid ... (Read 80 times)

sabina

  • Hero Member
  • *****
  • Posts: 563
What would the nurse expect to assess in a client who has been taking long-term corticosteroid replacement therapy?
 
  Standard Text: Select all that apply.
  1. Fasting blood glucose level 150 mg/dL
  2. Reduced muscle mass
  3. Elevated blood lipid levels
  4. History of pathological fractures
  5. Serum potassium level 5.0 mg/dL

Question 2

Which client statement indicates that instruction about fludrocortisone (Florinef) has been ineffective?
 
  1. If I develop muscle cramps, I will call the office right away.
  2. If I notice a lot of swelling in my legs, I'll call the office right away.
  3. This drug could lower my potassium, so I'll eat foods rich in potassium.
  4. This drug will drop my blood pressure, so I'll go from sitting to standing slowly.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

olivia_paige29

  • Sr. Member
  • ****
  • Posts: 334
Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: Corticosteroids have a hyperglycemic effect and increase the blood glucose level.
Rationale 2: Corticosteroids increase the breakdown of proteins to amino acids. Amino acids are then converted to glucose and glycogen in the liver, resulting in protein depletion.
Rationale 3: Corticosteroids increase the breakdown of lipids.
Rationale 4: Corticosteroids increase the breakdown of bony matrix, resulting in bone demineralization, which can cause pathological fractures.
Rationale 5: Corticosteroids do not increase the serum potassium level.
Global Rationale: Corticosteroids have a hyperglycemic effect and increase the blood glucose level. Corticosteroids increase the breakdown of proteins to amino acids. Amino acids are then converted to glucose and glycogen in the liver, resulting in protein depletion. They also increase the breakdown of lipids and cause bone demineralization. They do not increase serum potassium.

Answer to Question 2

Correct Answer: 4
Rationale 1: Muscle cramping could be a sign of hypokalemia.
Rationale 2: Peripheral edema could be a sign of fluid volume excess, and should be evaluated.
Rationale 3: This medication could lower potassium levels. The client can continue to enjoy foods rich in potassium.
Rationale 4: This medication is likely to cause the client's blood pressure to rise, not drop.
Global Rationale: This medication is likely to cause the client's blood pressure to rise, not drop. This medication could lower potassium levels causing muscle cramps. The client can continue to enjoy foods rich in potassium. Peripheral edema could be a sign of fluid volume excess, and should be evaluated.




sabina

  • Member
  • Posts: 563
Reply 2 on: Jul 23, 2018
Excellent


Animal_Goddess

  • Member
  • Posts: 339
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

By definition, when a medication is administered intravenously, its bioavailability is 100%.

Did you know?

The most dangerous mercury compound, dimethyl mercury, is so toxic that even a few microliters spilled on the skin can cause death. Mercury has been shown to accumulate in higher amounts in the following types of fish than other types: swordfish, shark, mackerel, tilefish, crab, and tuna.

Did you know?

Chronic marijuana use can damage the white blood cells and reduce the immune system's ability to respond to disease by as much as 40%. Without a strong immune system, the body is vulnerable to all kinds of degenerative and infectious diseases.

Did you know?

The heart is located in the center of the chest, with part of it tipped slightly so that it taps against the left side of the chest.

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

For a complete list of videos, visit our video library