Stuvia.com - The Marketplace to Buy and Sell your Study Material
Chapter 37: Corticosteroids
Test Bank
MULTIPLE CHOICE
1. A patient has been on high dose corticosteroid therapy for the treatment of lupus
erythematosus. In addition to monitoring electrolyte levels, which laboratory studies will the
nurse monitor?
a. Complete blood count
b. Partial thromboplastin time
c. Liver function panel
d. Blood glucose levels
ANS: D
Corticosteroid therapy may induce hyperglycemia, particularly in prediabetic or diabetic
patients. All patients must be monitored for the development of hyperglycemia, particularly
during the early weeks of therapy. Steroids do not affect blood count, bleeding time, or liver
function.
DIF: Cognitive Level: Application REF: p. 606 OBJ: 4
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
2. A patient who has been taking glucocorticoids over the past 3 months for Crohn’s disease
comes in for a follow up visit. On assessment, the nurse notes facial edema, thinning
extremities, and a fatty deposition (buffalo hump) on the scapular area. The patient reports
the symptoms of the Crohn’s disease are “somewhat better.” What will the nurse expect the
treatment to be?
a. Decrease the steroid dosage by one half.
b. Increase the steroid dosage.
c. Maintain the steroid dosage.
d. Immediately stop the steroid dosage.
ANS: C
Glucocorticoids are primarily used as anti inflammatory agents. Because the symptoms are
improving, the physician will most likely maintain the steroid dosage. Adverse effects are
anticipated with corticosteroid therapy. Decreasing the dose will not help the condition.
Increasing the dose will exacerbate the adverse effects, and the condition is improving with
the current dosage. Stopping the dosage will not help the condition or the adverse effects.
DIF: Cognitive Level: Application REF: p. 608 OBJ: 5
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
3. What is the rationale for administering glucocorticoid therapy as an adjunct to
chemotherapeutic agents?
a. Assists with pain control
b. Raises blood sugar to meet the increased metabolic needs
c. Produces immunosuppression effects
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:52:13 GMT -05:00
https://www.coursehero.com/file/19255145/ch38/
Downloaded by: Sophiie |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
d. Reduces mucositis
ANS: C
Glucocorticoids have an anti inflammatory and antiallergenic action. Suppression of
inflammation resulting from cancer enhances the effectiveness of the chemotherapeutic
agents. Glucocorticoids do not have an analgesic effect. Glucocorticoids increase blood
glucose, but it is an adverse effect, not a primary effect. Glucocorticoids do not reduce
mucositis.
DIF: Cognitive Level: ComprehensionREF: p. 608 OBJ: 2 | 5
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
4. A patient with type 1 diabetes was prescribed a glucocorticoid for chronic obstructive
pulmonary disease. Which will the nurse expect in the treatment plan?
a. A decrease in the amount of insulin needed
b. No change in the amount of insulin needed
c. An increase in the need for carbohydrates
d. An increase in the insulin needed
ANS: D
Glucocorticoids may elevate blood glucose levels and induce hyperglycemia, particularly in
prediabetic or diabetic patients. Insulin needs increase with an increase in blood glucose
levels. Carbohydrate needs will not increase.
DIF: Cognitive Level: Application REF: p. 610 OBJ: 4
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
5. Which condition would require mineralocorticoid replacement?
a. Addison’s disease
b. Diabetes insipidus
c. Myxedema
d. Glomerulonephritis
ANS: A
Addison’s disease is a result of failure of the adrenal cortex to produce mineralocorticoids,
glucocorticoids, and sex hormones. Replacement therapy of all hormones is essential for the
patient to lead a healthy life. Diabetes insipidus is treated with vasopressin. Myxedema is
treated with thyroid hormone. Glomerulonephritis is treated with antibiotics.
DIF: Cognitive Level: ComprehensionREF: p. 607 OBJ: 5
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
6. Which fluid replacement method will the nurse identify for a patient on a fluid restriction?
a. Freely throughout the day and evening shift
b. One third of the allowed volume on each shift
c. Half the volume with meals and the remainder divided among shifts
d. As the patient desires
ANS: C
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:52:13 GMT -05:00
https://www.coursehero.com/file/19255145/ch38/
Downloaded by: Sophiie |
Distribution of this document is illegal
Chapter 37: Corticosteroids
Test Bank
MULTIPLE CHOICE
1. A patient has been on high dose corticosteroid therapy for the treatment of lupus
erythematosus. In addition to monitoring electrolyte levels, which laboratory studies will the
nurse monitor?
a. Complete blood count
b. Partial thromboplastin time
c. Liver function panel
d. Blood glucose levels
ANS: D
Corticosteroid therapy may induce hyperglycemia, particularly in prediabetic or diabetic
patients. All patients must be monitored for the development of hyperglycemia, particularly
during the early weeks of therapy. Steroids do not affect blood count, bleeding time, or liver
function.
DIF: Cognitive Level: Application REF: p. 606 OBJ: 4
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
2. A patient who has been taking glucocorticoids over the past 3 months for Crohn’s disease
comes in for a follow up visit. On assessment, the nurse notes facial edema, thinning
extremities, and a fatty deposition (buffalo hump) on the scapular area. The patient reports
the symptoms of the Crohn’s disease are “somewhat better.” What will the nurse expect the
treatment to be?
a. Decrease the steroid dosage by one half.
b. Increase the steroid dosage.
c. Maintain the steroid dosage.
d. Immediately stop the steroid dosage.
ANS: C
Glucocorticoids are primarily used as anti inflammatory agents. Because the symptoms are
improving, the physician will most likely maintain the steroid dosage. Adverse effects are
anticipated with corticosteroid therapy. Decreasing the dose will not help the condition.
Increasing the dose will exacerbate the adverse effects, and the condition is improving with
the current dosage. Stopping the dosage will not help the condition or the adverse effects.
DIF: Cognitive Level: Application REF: p. 608 OBJ: 5
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
3. What is the rationale for administering glucocorticoid therapy as an adjunct to
chemotherapeutic agents?
a. Assists with pain control
b. Raises blood sugar to meet the increased metabolic needs
c. Produces immunosuppression effects
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:52:13 GMT -05:00
https://www.coursehero.com/file/19255145/ch38/
Downloaded by: Sophiie |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
d. Reduces mucositis
ANS: C
Glucocorticoids have an anti inflammatory and antiallergenic action. Suppression of
inflammation resulting from cancer enhances the effectiveness of the chemotherapeutic
agents. Glucocorticoids do not have an analgesic effect. Glucocorticoids increase blood
glucose, but it is an adverse effect, not a primary effect. Glucocorticoids do not reduce
mucositis.
DIF: Cognitive Level: ComprehensionREF: p. 608 OBJ: 2 | 5
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
4. A patient with type 1 diabetes was prescribed a glucocorticoid for chronic obstructive
pulmonary disease. Which will the nurse expect in the treatment plan?
a. A decrease in the amount of insulin needed
b. No change in the amount of insulin needed
c. An increase in the need for carbohydrates
d. An increase in the insulin needed
ANS: D
Glucocorticoids may elevate blood glucose levels and induce hyperglycemia, particularly in
prediabetic or diabetic patients. Insulin needs increase with an increase in blood glucose
levels. Carbohydrate needs will not increase.
DIF: Cognitive Level: Application REF: p. 610 OBJ: 4
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
5. Which condition would require mineralocorticoid replacement?
a. Addison’s disease
b. Diabetes insipidus
c. Myxedema
d. Glomerulonephritis
ANS: A
Addison’s disease is a result of failure of the adrenal cortex to produce mineralocorticoids,
glucocorticoids, and sex hormones. Replacement therapy of all hormones is essential for the
patient to lead a healthy life. Diabetes insipidus is treated with vasopressin. Myxedema is
treated with thyroid hormone. Glomerulonephritis is treated with antibiotics.
DIF: Cognitive Level: ComprehensionREF: p. 607 OBJ: 5
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
6. Which fluid replacement method will the nurse identify for a patient on a fluid restriction?
a. Freely throughout the day and evening shift
b. One third of the allowed volume on each shift
c. Half the volume with meals and the remainder divided among shifts
d. As the patient desires
ANS: C
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:52:13 GMT -05:00
https://www.coursehero.com/file/19255145/ch38/
Downloaded by: Sophiie |
Distribution of this document is illegal
