ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 33 : Adrenal Drugs Questions
Question 1 of 5
The nurse expects that a patient is experiencing undersecretion of adrenocortical hormones when which conditions are found upon assessment?
Correct Answer: A,B,D,F
Rationale: The undersecretion (hyposecretion) of adrenocortical hormones causes a condition known as Addison's disease, which is associated with decreased blood sodium and glucose levels, increased potassium levels, dehydration, and weight loss. Steroid psychosis is an effect of glucocorticoid excess.
Question 2 of 5
A patient has been admitted for an exacerbation of chronic obstructive pulmonary disease and will be receiving methylprednisolone 30 mg intravenously every 6 hours. The medication is available in 40 mg/mL vials. Identify how many milliliters will the nurse draw up for this dose.
Correct Answer: 0.75 mL
Rationale: 40 mg : 1 mL :: 30 mg : x mL; (40 * x) = (1 * 30); 40x = 30; x = 30/40 = 0.75 mL.
Question 3 of 5
The nurse is administering an adrenal drug to a patient. Which action by the nurse is appropriate for this patient?
Correct Answer: B
Rationale: After the patient has used corticosteroid inhalers, cleaning the oral cavity helps to prevent possible oral fungal infections from developing. Adrenal drugs need to be taken with meals to minimize gastrointestinal upset and in the mornings to minimize adrenal suppression, and they need to be discontinued by weaning, not abruptly.
Question 4 of 5
A patient will be starting therapy with a corticosteroid. The nurse reviews the prescriber's orders and notes that an interaction may occur if the corticosteroid is taken with which of these drug classes?
Correct Answer: A
Rationale: The use of corticosteroids with aspirin, other NSAIDs, and other ulcerogenic drugs produces additive gastrointestinal effects and an increased chance for the development of gastric ulcers. The other options are incorrect.
Question 5 of 5
A patient is concerned about the body changes that have resulted from long-term prednisone therapy for the treatment of asthma. Which expected effect of this drug therapy would cause a change in the patient's appearance?
Correct Answer: B
Rationale: Facial erythema, weight gain, hirsutism, and 'moon face' (characteristic of Cushing's syndrome) are possible body changes that may occur with long-term prednisone therapy.