Test Bank For Focus on Nursing Pharmacology 7th Edition By Amy M. Karch 9781496318213 ALL Chapters

Test Bank For Focus on Nursing Pharmacology 7th Edition By A
u u u u u u u u u u


my M. Karch 9781496318213 ALL Chapters .
u u u u u u




SodiumuanduwaterudepletionualonguwithupotassiumuretentionWhatuglucocorticoidsucouldutheunurseuon
lyuadministeruorally?
A)
Cortisoneu(CortoneuAcetate)
B)
Hydrocortisoneu(Cortef)
C)
Prednisoneu(Deltasone)
D)
Triamcinoloneu(Aristocort)u-uANSWER:uB

Whenudevelopinguauplanuofucareuforutheupatientureceivinguauglucocorticoid,uwhatunursingudiagnosisuwo
uldubeuofuhighestupriority?
A)
Deficientufluiduvolumeurelatedutouwateruretention
B)
Riskuforuinjuryurelatedutoumuscleuweakness
C)
Imbalancedunutrition:ulessuthanubodyurequirements
D)
Riskuforuinfectionurelatedutouimmunosuppressionu-uANSWER:uD

Whatuglucocorticoidsucouldutheunurseuonlyuadministeruorally?
A)
Cortisoneu(CortoneuAcetate)
B)
Hydrocortisoneu(Cortef)
C)
Prednisoneu(Deltasone)
D)
Triamcinoloneu(Aristocort)u-uANSWER:uC

Theumotheruasksutheunurseuforuausteroiducreamutouputuonuheruinfantsudiaperurash.uWhatuteachinguwillut
heunurseuprovideutheumother?u(Selectualluthatuapply.)
A)
Topicalucorticosteroidsuareuveryueffectiveutreatmentuforudiaperurash.
B)
Topicalucorticosteroiduapplicationushouldunotubeuoccludeduwithuaudiaper.
C)
Topicalucorticosteroidsushouldunotubeuappliedutouopenulesions.
D)
Useuofutopicalucorticosteroidsushouldubeulimiteduinuchildren.
E)
Topicalucorticosteroidsushouldubeuapplieduinuauthickucoatutoutheurash.u-uANSWER:uB,C,D

Anuolderuadultupatientutakinguhigh-
doseucorticosteroidsutoutreatuarthritisurequestsuaupneumoniauvaccine.uWhatuisutheunursesubesturespons
e?
A)
Pneumoniauvaccinesuareuonlyugivenuifuyouuareuaturiskuforuseriousupulmonaryuproblems.
B)

,Liveuvirusuvaccinesucannotubeugivenutoupeopleuwhouareusignificantlyuimmunosuppressed.
C)
Patientsutakingucorticosteroidsuareuwelluprotectedufromuvirusesuandudounotuneeduvaccines.
D)
Corticosteroidsuinteractuwithutheupneumococcaluvaccineutoucreateuseriousuadverseueffects.u-
uANSWER:uB



Aupatientuwhouisusteroidudependentudueutouadrenocorticaluinsufficiencyucallsutheuclinicuanduisuveryuups
et,utellingutheunurseuofutheuextremeustressuheuorusheuisuexperiencingurightunow.uWhatudoesutheunurseu
expectutheuhealthucareuprovideruwilluorderuconcerninguhisuoruherumedication?
A)
Theudosageumayucontinueuasuordered.
B)
Theumedicationumayubeudiscontinueduuntilustressudeclines.
C)
Theudosageuofutheumedicationumayubeuincreased.
D)
Theudosageuofutheumedicationumayubeudecreased.u-uANSWER:uC

Aunurseuisuprovidingupatientueducationutouaupatientuwhouhasuhaducorticosteroidsuprescribed.uWhatudru
guwillutheunurseuteachutheupatientutouavoiduwhileutakingutheucorticosteroids?
A)
Aspirin
B)
Dimenhydrinateu(Dramamine)
C)
Ibuprofenu(Advil)
D)
Famotidineu(Pepcid)u-uANSWER:uA

Theunurseuisucaringuforuaupatientuwithuauheightenedustressuresponseufollowinguaufearfuluexperience.uW
henuassessinguthisupatient,uwhatufindingsuwillutheunurseuattributeutouthisuresponse?u(Selectualluthatuapp
ly.)
A)
Elevateduserumublooduglucose
B)
Reduceduinflammatoryuresponse
C)
Heighteneduimmuneuresponse
D)
Increasedublooduvolume
E)
Extremeuhungeru-uANSWER:uA,B,D

Theunurseuisuprovidingupatientueducationutouaupatientutakinguauglucocorticoiduanduadvisesutheupatientu
toutakeuhisuoruherumedicationuatuwhatutimeuofutheuday?
A)
Atubedtime
B)
Withutheunoonumeal
C)
Atu3:00uPM
D)
Immediatelyuonuawakeninguinutheumorningu-uANSWER:uD

, Anu8-year-
olduwithuasthmauhasubeenuprescribedutriamcinoloneu(Aristocort).uWhatudosageuofumedicationuwouldut
heunurseuappropriatelyudeliver?
A)
Oneuinhalationuperuday
B)
Oneuinhalationub.i.d.
C)
Twouinhalationsueveryu3uhours
D)
Twouinhalationsut.i.d.u-uANSWER:uD

Theunurse,ucaringuforuaupatientuexperiencingustress,uknowsuthatuactivationuofutheustressureactionuwilluc
auseutheureleaseuofuwhat?
A)
Glucose
B)
Aldosterone
C)
Adrenocorticotropicuhormoneu(ACTH)
D)
Oxytocinu-uANSWER:uC

Theunurseuisudevelopinguauplanuofucareuforuanu84-year-
oldudiabeticupatientuwhouisureceivinguoraluhydrocortisoneu40umgudailyuforutreatmentuofuarthritis.uWhat
uisuthisupatientsupriorityunursinguintervention?

A)
Increasingusodiumuinudiet
B)
Restrictinguproteinuinudiet
C)
Increasingufluidsutou2,000umL/d
D)
Monitoringublooduglucoseulevelsufrequentlyu-uANSWER:uD

Aupatientuwithuadrenaluinsufficiencyuhasubeenuadmittedutoutheuintensiveucareuunituinuadrenalucrisis.uW
hatuassessmentufindingsusupportuthisudiagnosis?u(Selectualluthatuapply.)
A)
Physiologicaluexhaustion
B)
Hypertension
C)
Fluidushift
D)
Shocku-uANSWER:uA,C,D

Theunurseuisuprovidingudischargeuteachinguforuaupatientuprescribeduprednisoneutoubeutakenuonualternat
eudays.uTheupatientuasksuwhyuheucannotutakeuhalfuaupillueveryuday.uWhatuisutheunursesubesturesponse?
A)
Toueliminateuadverseusideueffects
B)
Touprolongutherapeuticueffects
C)
Toupreventusteroidutolerance
D)
Toudecreaseuadrenalusuppressionu-uANSWER:uD