Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
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Chapter 38: Corticosteroids
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| A. | Complete blood count |
| B. | Partial thromboplastin time |
| C. | Liver function panel |
| D. | Blood glucose levels |
ANS: D
| Feedback | |
| A | Steroids do not affect blood count. |
| B | Steroids do not affect bleeding time. |
| C | Steroids do not affect liver function. |
| 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. |
DIF: Cognitive Level: Application REF: 597-598
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
| 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
| Feedback | |
| A | Decreasing the dose will not help the condition. |
| B | Increasing the dose will exacerbate the adverse effects, and the condition is improving with the current dosage. |
| 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. |
| D | Stopping the dosage will not help the condition or the adverse effects. |
DIF: Cognitive Level: Application REF: 598-599
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
| A. | Assists with pain control |
| B. | Raises blood sugar to meet the increased metabolic needs |
| C. | Produces immunosuppression effects |
| D. | Reduces mucositis |
ANS: C
| Feedback | |
| A | Glucocorticoids do not have an analgesic effect. |
| B | Glucocorticoids increase blood glucose, but it is an adverse effect, not a primary effect. |
| C | Glucocorticoids have an anti-inflammatory and antiallergenic action. Suppression of inflammation secondary to cancer enhances the effectiveness of the chemotherapeutic agents. |
| D | Glucocorticoids do not reduce mucositis. |
DIF: Cognitive Level: Comprehension REF: 597
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
| 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
| Feedback | |
| A | Insulin needs will increase. |
| B | Insulin needs will increase. |
| C | Carbohydrate needs will not increase. |
| 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. |
DIF: Cognitive Level: Application REF: 600
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.