Question 1

Which are contraindications to the administration of glucocorticoid drugs?

Accepted Answer

A) Glaucoma and mental health illnesses 
B) Peptic ulcer disease and dizziness 
C) Varicella and headaches 
D) Cataracts and nausea 
A) Glaucoma and mental health illnesses 
B) Peptic ulcer disease and dizziness 
C) Varicella and headaches 
D) Cataracts and nausea A

Question 2

What may be caused by systemically administered glucocorticoids?

Accepted Answer

A) Dehydration 
B) Hypokalemia 
C) Hyperkalemia 
D) Hypoglycemia 
A) Dehydration 
B) Hypokalemia 
C) Hyperkalemia 
D) Hypoglycemia C

Question 3

A patient is taking fludrocortisone (Florinef)for Addison's disease.His wife is concerned about all the problems that may occur with this therapy.
Which is a true statement about fludrocortisone therapy?

Accepted Answer

A) It may cause severe postural hypotension. 
B) To minimize gastrointestinal upset, the medication should be taken with food or milk. 
C) The medication should be stopped immediately if nausea or vomiting occurs. 
D) Weight gain of 2.3 kg or more in 1 week is an expected adverse effect. 
A) It may cause severe postural hypotension. 
B) To minimize gastrointestinal upset, the medication should be taken with food or milk. 
C) The medication should be stopped immediately if nausea or vomiting occurs. 
D) Weight gain of 2.3 kg or more in 1 week is an expected adverse effect. B

Question 4

What important information about taking adrenal drugs is appropriate for the nurse to give a patient?

Accepted Answer

A) To maximize their absorption, oral drugs should be taken before meals. 
B) The patient should rinse the oral cavity after using the steroid inhalers. 
C) Corticosteroids should be taken before bedtime to minimize adrenal suppression. 
D) The medication is to be immediately discontinued if a weight gain of more than 2.25 kg occurs in 1 week. 
A) To maximize their absorption, oral drugs should be taken before meals. 
B) The patient should rinse the oral cavity after using the steroid inhalers. 
C) Corticosteroids should be taken before bedtime to minimize adrenal suppression. 
D) The medication is to be immediately discontinued if a weight gain of more than 2.25 kg occurs in 1 week.

Question 5

Which are the expected symptoms of undersecretion of adrenocortical hormones?

Accepted Answer

A) Osteoporosis 
B) Steroid psychosis 
C) Dehydration and weight loss 
D) Water retention 
A) Osteoporosis 
B) Steroid psychosis 
C) Dehydration and weight loss 
D) Water retention

Question 6

Which type of drugs can have an adverse interaction with corticosteroids?

Accepted Answer

A) Nonsteroidal anti-inflammatory drugs (NSAIDs) 
B) Antibiotics 
C) Narcotic analgesics 
D) Oral anticoagulants 
A) Nonsteroidal anti-inflammatory drugs (NSAIDs) 
B) Antibiotics 
C) Narcotic analgesics 
D) Oral anticoagulants

Question 7

Which is a true statement about prednisone (Winpred)?

Accepted Answer

A) It is a short-acting glucocorticoid. 
B) It has potent mineralocorticoid activity. 
C) It is the preferred oral glucocorticoid for anti-inflammatory purposes. 
D) It may be administered by inhalation for the treatment of bronchial asthma. 
A) It is a short-acting glucocorticoid. 
B) It has potent mineralocorticoid activity. 
C) It is the preferred oral glucocorticoid for anti-inflammatory purposes. 
D) It may be administered by inhalation for the treatment of bronchial asthma.

Question 8

A patient is concerned about the body changes that have resulted from long-term prednisone (Winpred)therapy for the treatment of lupus erythematosus.Which effect of this drug therapy supports the nursing diagnosis of disturbed body image?

Accepted Answer

A) Weight loss 
B) Weight gain 
C) Pale skin colour 
D) Loss of hair 
A) Weight loss 
B) Weight gain 
C) Pale skin colour 
D) Loss of hair

Question 9

Which are indications for glucocorticoid drugs? (Select all that apply.)

Accepted Answer

A) Glaucoma 
B) Cerebral edema 
C) Chronic obstructive pulmonary disease and asthma 
D) Organ transplantation 
E) Varicella
F)Spinal cord injury
G)Septicemia
H)Rhinitis 
A) Glaucoma 
B) Cerebral edema 
C) Chronic obstructive pulmonary disease and asthma 
D) Organ transplantation 
E) Varicella
F)Spinal cord injury
G)Septicemia
H)Rhinitis

Exam 34: Adrenal Drugs

Which are contraindications to the administration of glucocorticoid drugs?

What may be caused by systemically administered glucocorticoids?

A patient is taking fludrocortisone (Florinef)for Addison's disease.His wife is concerned about all the problems that may occur with this therapy. Which is a true statement about fludrocortisone therapy?

What important information about taking adrenal drugs is appropriate for the nurse to give a patient?

Which are the expected symptoms of undersecretion of adrenocortical hormones?

Which type of drugs can have an adverse interaction with corticosteroids?

Which is a true statement about prednisone (Winpred)?

A patient is concerned about the body changes that have resulted from long-term prednisone (Winpred)therapy for the treatment of lupus erythematosus.Which effect of this drug therapy supports the nursing diagnosis of disturbed body image?

Which are indications for glucocorticoid drugs? (Select all that apply.)

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

Adrenergic Drugs

Adrenergic-Blocking Drugs

Cholinergic Drugs

Cholinergic-Blocking Drugs

Antihypertensive Drugs

Antianginal Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Women’s Health Drugs

Men’s Health Drugs

Antihistamines,Decongestants,Antitussives,and Expectorants

Respiratory Drugs

Acid-Controlling Drugs

Antidiarrheal Drugs and Laxatives

Antiemetic and Anti-nausea Drugs

Nutritional Supplements

Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antiviral Drugs

Antitubercular Drugs

Antifungal Drugs

Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Dermatological Drugs

Ophthalmic Drugs

Otic Drugs

Filters