The nurse would question an order for corticosteroids for a ...

[SO00]

The nurse would question an order for corticosteroids for a client diagnosed with which health problem?
 
  1. Exposure to active tuberculosis
  2. Long-term asthma
  3. Inflammatory bowel disease
  4. Seasonal allergic rhinitis

Question 2

A client in anaphylactic shock receives a dose of hydrocortisone (Solu-Cortef). The nurse recognizes that the desired action of this medication is to:
 
  1. raise serum oncotic pressure.
  2. inhibit the inflammatory process.
  3. stimulate the sympathetic nervous system.
  4. raise circulating glucose levels.

[asware1]

Answer to Question 1

Correct Answer: 1
Rationale 1: Active tuberculosis is a highly contagious disease. Corticosteroids can suppress the immune system and should not be administered to this client.
Rationale 2: Corticosteroids are indicated for use in asthma.
Rationale 3: Corticosteroids are indicated for use in inflammatory bowel disease.
Rationale 4: Corticosteroids are indicated for use in allergic rhinitis.
Global Rationale: Active tuberculosis is a highly contagious disease. Corticosteroids can suppress the immune system and should not be administered to this client since exposure has occurred. Corticosteroids are used in the treatment of asthma, IBD, and allergic rhinitis.

Answer to Question 2

Correct Answer: 2
Rationale 1: Solu-Cortef is not used to raise serum oncotic pressure.
Rationale 2: Corticosteroids frequently are used to suppress the inflammatory and immune responses.
Rationale 3: Solu-Cortef is not used to stimulate the sympathetic nervous system.
Rationale 4: Although intravenous corticosteroids can increase serum glucose levels, they have another purpose when used for anaphylactic shock.
Global Rationale: Corticosteroids frequently are used to suppress the inflammatory and immune responses. Although intravenous corticosteroids can increase serum glucose levels, they have another purpose when used for anaphylactic shock. They are not used to raise serum oncotic pressure or to stimulate the SNS.

[SO00]

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[asware1]

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