Pharmacology EDAPT - Steroidal Antiinflammatory Drugs

Pharmacology EDAPT - Steroidal Antiinflammatory Drugs The nurse knows that which of the following cause cortisol levels to increase as part of a negative feedback system. Select all that apply. - ✔✔trauma physiologic ...

Pharmacology EDAPT - Steroidal Antiinflammatory Drugs The nurse knows that which of the following cause cortisol levels to increase as part of a negative feedback system. Select all that apply. - ✔✔trauma physiologic stress emotional stress surgery When exogenous glucocorticoids are administered, the body stops producing exogenous hormone. Therefore, if the exogenous hormone is stopped abruptly, adrenal __________ will result. - ✔✔suppression You are the nurse caring for a patient taking a glucocorticoid medication and you know that to minimize the risk of adrenal insufficiency, it is best to administer this medication ______________ during peak hormone production time. - ✔✔early in the morning As the nurse, you instruct your patient to take the prescribed glucocorticoid as directed and not to stop taking it abruptly. You explain to the patient that this is because of which of the following? Select all that apply. - ✔✔This can result in life-threatening adrenal suppression and/or crisis The glucocorticoid medication is causing their body not to produce its own glucocorticoid Their body needs time to begin producing its own glucocorticoid You are caring for a patient who was recently prescribed a glucocorticoid medication. As you complete your nursing assessment, identify which of the following serum levels are possible side effects of glucocorticoids. Select all that apply. - ✔✔T4 Calcium Sodium Potassium WBC As the nurse caring for a patient who has just been administered a glucocorticoid inhaler, you advise your patient to - ✔✔rinse out their mouth You are the nurse caring for a patient on long-term glucocorticoid therapy. During your nursing assessment, you note that the patient is exhibiting a side effect known as a "moon face" appearance. One of your nursing diagnoses is disturbed body image and your desired outcome as a result would be - ✔✔the patient verbalizes improved body image Which of the following should a nurse caring for a patient on adrenal drug therapy include in patient teaching? - ✔✔Follow the prescriber's administration instructions strictly You are caring for a patient who was recently prescribed a glucocorticoid medication. As you complete your nursing assessment, identify which of the following serum levels are possible side effects of glucocorticoids and match them with the proper laboratory result. - ✔✔glucose - hyperglycemia calcium - hypocalcernia sodium - hypernatremia potassium - hypokalemia LDL - hyperlipidemia The nurse is preparing to discharge a patient prescribed prednisone for treatment of asthma. Which of the following statements should be included in the teaching plan? - ✔✔Patient will be taking prednisone along with a mineralocorticoid (such as methylprednisolone) You are caring for a patient who has been prescribed prednisone for treatment of his adrenal insufficiency. He has also been prescribed a non-potassium sparing diuretic for edema. Based on your knowledge of prednisone, you monitor him for which of these potential drug interactions? - ✔✔Severe hypocalcemia and hypokalemia As part of your patient education regarding prednisone administration upon discharge, you explain to the patient the symptoms of adrenal insufficiency (Addison's disease) which result from abruptly discontinuing their long-term adrenal medication. These include which of the following? Select all that apply. - ✔✔dyspnea hypoglycemia weakness nausea anorexia fatigue You are the nurse caring for a patient who has been prescribed prednisone and is ready to be discharged. You are educating the patient regarding administration guidelines which are crucial to safe therapy. You explain to the patient that in order to minimize the risk of adrenal insufficiency, it is best to follow which instructions? Select all of the true statements. - ✔✔Do not ever stop taking prednisone without the prescriber's guidance and treatment Take your daily dose of prednisone between 0600-0900 which is during peak hormone production time Take prednisone with food to minimize GI upset Avoid contact with people who have known or suspected infections (such as a fever) Do not ever take a double dose of prednisone Avoid taking aspirin You are caring for an elderly patient who has been on long-term prednisone therapy. You know that this may result in an increased risk for which condition? - ✔✔adrenal suppression You are caring for a patient taking prednisone. You have never administered this medication before and therefore you research prednisone to help you recall what time of medication it is in order to understand the effects it will have on your patient's various body systems. You recall that prednisone is/has: - ✔✔A corticosteroid, the type of hormone produced by the adrenal cortex (outer layer of the adrenal gland) Produced in the adrenal cortex Produced in the adrenal gland, which is part of the HPA (hypothalamus-pituitary-adrenal) axis and therefore impacted by the health and action of the hypothalamus and pituitary gland A glucocorticoid (a type of corticosteroid) with mainly anti-inflammatory and immunosuppressant effects Has minimal fluid & electrolyte balance effects (mineralocorticoid activity) Has systemic effects Is administered orally The nurse caring for a patient taking prednisone knows that it can exacerbate, worsen or precipitate which conditions? Select all that apply. - ✔✔infection peptic ulcer glaucoma cardiac disease