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Author Question: The nurse would question an order for the administration of a glucocorticoid in a patient with a. ... (Read 51 times)

fasfsadfdsfa

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The nurse would question an order for the administration of a glucocorticoid in a patient with
 
  a. systemic lupus erythematosus.
  b. rheumatoid arthritis.
  c. systemic fungal infections.
  d. asthma.

Question 2

The nurse is caring for a patient taking high-dose glucocorticoids and is creating a plan of care for the patient. Which nursing diagnosis is the priority for the plan of care?
 
  a. Risk for disturbed sensory perception, auditory
  b. Risk for infection
  c. Risk for fluid volume deficit
  d. Risk for ineffective airway clearance



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rosiehomeworddo

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Answer to Question 1

ANS: C
The nurse should question administration of a glucocorticoid to a patient with a fungal infection, because the drug could mask the symptoms of a systemic-wide infection.
The use of glucocorticoids in a patient with systemic lupus erythematosus is expected, because it is an autoimmune disorder that would respond to glucocorticoid intervention.
The use of glucocorticoids in a patient with rheumatoid arthritis is expected, because it is an autoimmune disorder that would respond to glucocorticoid intervention.
The use of glucocorticoids in a patient with asthma is expected, because it is an inflammatory disorder that would respond to glucocorticoid intervention.

Answer to Question 2

ANS: B
Patients taking glucocorticoids are at risk for infection, because glucocorticoids increase the susceptibility to infection by suppressing host defenses.
Glucocorticoids do not disturb sensory perception.
Glucocorticoids do not put the patient at risk for fluid volume deficit, but rather for fluid volume excess.
Glucocorticoids do not promote a risk of ineffective airway clearance.





 

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