Corticoidsteroids Exam Questions With Correct Answers
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Course
Corticoidsteroids
Institution
Corticoidsteroids
EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Corticoidsteroids Exam Questions With
Correct Answers
Which statement accurately describes corticosteroids? - answerGlucocorticoids affect
carbohydrate metabolism, and mineralocorticoids regulate electrolytes.
It is accurate that glucocorticoids affect ca...
Corticoidsteroids Exam Questions With
Correct Answers
Which statement accurately describes corticosteroids? - answer✔✔Glucocorticoids affect
carbohydrate metabolism, and mineralocorticoids regulate electrolytes.
It is accurate that glucocorticoids affect carbohydrate metabolism and mineralocorticoids are
responsible for electrolyte regulation.
Which statements regarding the pharmacokinetics of glucocorticoids are accurate?
Select all that apply.
Rate of absorption varies depending on the glucocorticoid and route of administration.
Rapid absorption occurs when sodium phosphate and sodium succinate esters are given
intramuscularly.
Glucocorticoids are minimally protein bound.
Glucocorticoids undergo hepatic metabolism to produce inactive metabolites.
Glucocorticoids undergo biliary excretion. - answer✔✔Rate of absorption varies depending on
the glucocorticoid and route of administration.
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Glucocorticoid absorption greatly varies depending on both the glucocorticoid of reference and
the route in which it is administered.
Rapid absorption occurs when sodium phosphate and sodium succinate esters are given
intramuscularly.
Rapid absorption occurs with two glucocorticoids esters - sodium phosphate and sodium
succinate - when given intramuscularly.
Glucocorticoids undergo hepatic metabolism to produce inactive metabolites.
They undergo hepatic metabolism, forming inactive metabolites.
Which corticosteroid is the treatment of choice for a patient with Addison disease? -
answer✔✔Fludrocortisone
Fludrocortisone is a mineralocorticoid, which is the treatment of choice in patients requiring
mineralocorticoid replacement such as in Addison disease.
Which drugs currently taken by Mrs. Gabriel are anticipated to interact with prednisone? -
answer✔✔HCTZ
Prednisone may lead to increased side effects of diuretics such as HCTZ. Concomitant
administration of prednisone and HCTZ can lead to further depletion of electrolytes like
potassium. As a result more side effects, such as constipation, fatigue, and weakness, may occur.
Metformin
Prednisone may lead to decreased effects of metformin. Therefore Mrs. Crawford should monitor
her blood glucose levels more closely. It may not be observed as glucocorticoids increase blood
glucose levels; however, careful monitoring of the blood glucose level is warranted
Which parameters will a nurse ensure have been assessed before administering prednisone to a
patient newly diagnosed with systemic lupus erythematous?
Select all that apply. - answer✔✔Weight
Glucocorticoids like prednisone can cause weight gain. Therefore it is important to gain a
baseline value for monitoring.
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Sodium level
Sodium level should be monitored because glucocorticoids can alter sodium levels.
Glucose level
The patient's glucose level should be assessed because glucocorticoids can increase glucose
levels.
Blood pressure
Blood pressure may increase with corticosteroid therapy. Therefore assessing this at baseline is
important to determine whether additional interventions should be made to lower the patient's
risk for cardiovascular events.
Presence of preexisting edema
The assessment for preexisting edema is important because prednisone can cause sodium
retention.
Which patient cannot safely receive therapy with fludrocortisone? - answer✔✔A 40-year-old
patient with pulmonary aspergillosis
Patients with a systemic fungal infection like pulmonary aspergillosis and those with a
hypersensitivity to the drug should not receive fludrocortisone
A patient has been newly prescribed theophylline for asthma management. In addition to
theophylline, the patient is also receiving prednisone. Which drug interaction between
theophylline and prednisone does a nurse anticipate for this patient? - answer✔✔It will cause
decreased effects of prednisone
When prednisone is given with theophylline, the anticipated effect is a reduction in the effects of
prednisone. Therefore a higher dosage might be warranted. The patient would need to monitor
for worsening of asthmatic symptoms.
A client who was admitted with a diagnosis of acute lymphoblastic leukemia is receiving
chemotherapy. Which assessment finding would alert the nurse to the possible development of
thrombocytopenia? Select all that apply. - answer✔✔Melena,Hematuria,Ecchymosis
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