NURS 6015 EXAM 5: DR. JENNIE PETER'S REVIEW
QUESTIONS AND ANSWERS RATED 100% CORRECT.
NAME THE DRUG & CLASS:
Mimics the effects of cortisol, provide energy, & suppress inflammation
Superpower Anti-Inflammatory
AE:
Too much cortisol develops Cushing's Disease
NAME THE ASSESSMENTS:
Consider diabetic patient and signs of infection
TEACHING:
alternate dosing days
taper this drug off
NO NSAIDs Answer - Prednisone
Glucocorticoid
BP, glucose levels, electrolytes
,A diabetic pt is prescribed PO Prednisone (Corticosteroid) for an autoimmune
condition. What assessment should the nurse prioritize?
A. Increasing the Na+ & H2O intake
B. Standing up right for 30 minutes after taking
C. Monitoring for hyperglycemia & adjusting insulin
D. Monitoring for blood count (RBC, WBC) Answer - C
Note: Alendronate is hard on esophagus
A nurse is administering IV corticosteroid to a pt with active inflammation. The
nurse recognizes which other medication the pt is taking increases risk of
adverse event?
A. Albuterol inhaler
B. Aspirin
C. Diphenhydramine (Anit-histamine)
D. Insulin (Anti-hyperglycemic) Answer - B
What pt teaching is appropriate for a pt who will be discharged on long term
therapy of Prednisone (Corticosteroid)? SATA
A. Avoid aspirin & NSAIDs due to increased risk of bleeding
B. Take the medicine as prescribed and do not stop it abruptly
C. Monitor for S/S of hypoglycemia
D. Consult the PCP if any additional stressful situation arises Answer - ABC
, Note: will cause hyperglycemia
A pt is tapering dose of Prednisone (Corticosteroid) to be taken after discharge
for one month. He will be taking 20 mg PO pill every other day, w/ weekly
tapering by 10 mg reduction. The pt inquired why he cannot take the
medication every day and be done with it early?
A. To prolong the therapeutic effect
B. To avoid AE
C. To decrease the risk of osteoporosis
D. To avoid secondary adrenal suppression Answer - D
If there is too much PREDNISONE (aka cortisol), Cushing's disease can develop.
What are the main S/S? Answer - weight gain
buffalo hump
moon face
NAME THE DRUG & CLASS:
Mimics the effects of aldosterone to increase Na+ & H2O reabsorption & K+
excretion from kidneys
Indications: HYPOTN, adrenal insufficiency (Addison's)
AE: fluid overload, HF
What are S/S of fluid overload? Answer - Fludrocortisone
Mineralocorticoid
QUESTIONS AND ANSWERS RATED 100% CORRECT.
NAME THE DRUG & CLASS:
Mimics the effects of cortisol, provide energy, & suppress inflammation
Superpower Anti-Inflammatory
AE:
Too much cortisol develops Cushing's Disease
NAME THE ASSESSMENTS:
Consider diabetic patient and signs of infection
TEACHING:
alternate dosing days
taper this drug off
NO NSAIDs Answer - Prednisone
Glucocorticoid
BP, glucose levels, electrolytes
,A diabetic pt is prescribed PO Prednisone (Corticosteroid) for an autoimmune
condition. What assessment should the nurse prioritize?
A. Increasing the Na+ & H2O intake
B. Standing up right for 30 minutes after taking
C. Monitoring for hyperglycemia & adjusting insulin
D. Monitoring for blood count (RBC, WBC) Answer - C
Note: Alendronate is hard on esophagus
A nurse is administering IV corticosteroid to a pt with active inflammation. The
nurse recognizes which other medication the pt is taking increases risk of
adverse event?
A. Albuterol inhaler
B. Aspirin
C. Diphenhydramine (Anit-histamine)
D. Insulin (Anti-hyperglycemic) Answer - B
What pt teaching is appropriate for a pt who will be discharged on long term
therapy of Prednisone (Corticosteroid)? SATA
A. Avoid aspirin & NSAIDs due to increased risk of bleeding
B. Take the medicine as prescribed and do not stop it abruptly
C. Monitor for S/S of hypoglycemia
D. Consult the PCP if any additional stressful situation arises Answer - ABC
, Note: will cause hyperglycemia
A pt is tapering dose of Prednisone (Corticosteroid) to be taken after discharge
for one month. He will be taking 20 mg PO pill every other day, w/ weekly
tapering by 10 mg reduction. The pt inquired why he cannot take the
medication every day and be done with it early?
A. To prolong the therapeutic effect
B. To avoid AE
C. To decrease the risk of osteoporosis
D. To avoid secondary adrenal suppression Answer - D
If there is too much PREDNISONE (aka cortisol), Cushing's disease can develop.
What are the main S/S? Answer - weight gain
buffalo hump
moon face
NAME THE DRUG & CLASS:
Mimics the effects of aldosterone to increase Na+ & H2O reabsorption & K+
excretion from kidneys
Indications: HYPOTN, adrenal insufficiency (Addison's)
AE: fluid overload, HF
What are S/S of fluid overload? Answer - Fludrocortisone
Mineralocorticoid
