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Questions

Question 1

What is the typical systemic replacement dose of hydrocortisone or its equivalent used to treat adrenocortical insufficiency?

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Question 2

According to the text, what is a primary contraindication for the use of corticosteroids?

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Question 3

What is a significant precaution regarding prolonged treatment with corticosteroids?

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Question 4

Concurrent use of corticosteroids with amphotericin B and potassium-losing diuretics results in what additive effect?

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Question 5

What effect can phenytoin, phenobarbital, and rifampin have on corticosteroids?

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Question 6

According to nursing implications, when is the best time to administer a daily or every-other-day dose of corticosteroids?

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Question 7

What dietary advice should be given to patients on long-term corticosteroid therapy?

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Question 8

What is a potential outcome of long-term corticosteroid use in children?

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Question 9

What is a contraindication for administering live vaccines to patients?

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Question 10

Which signs and symptoms should a nurse assess for to identify adrenal insufficiency in a patient on corticosteroid therapy?

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Question 11

What is the effect of oral contraceptives on the metabolism of corticosteroids?

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Question 12

Prolonged use of large amounts of topical or inhaled corticosteroids can lead to what systemic effects?

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Question 13

What condition can be worsened by the hypokalemia induced by corticosteroid use?

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Question 14

What instruction should be given to a patient taking oral corticosteroids to minimize gastric irritation?

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Question 15

Why must patients on corticosteroid therapy be advised to avoid people with known contagious illnesses?

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Question 16

What effect do cholestyramine and colestipol have when taken with corticosteroids?

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Question 17

Which of the following is a potential desired outcome of corticosteroid therapy in autoimmune disorders?

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Question 18

What is the recommended treatment approach for a patient on corticosteroids who is under stress from surgery or infection?

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Question 19

Why might a patient on long-term corticosteroid therapy be encouraged to carry identification?

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Question 20

In addition to their anti-inflammatory and immunosuppressive activities, corticosteroids are also used for what other activity?

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Question 21

Which of the following is NOT listed as a potential nursing diagnosis for a patient on corticosteroids?

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Question 22

Corticosteroids may increase the requirements for which two types of medications?

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Question 23

What is the preferable therapeutic strategy during long-term corticosteroid treatment to minimize side effects?

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Question 24

What general action do corticosteroids have on the immune system?

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Question 25

Which assessment is crucial for children undergoing corticosteroid therapy?

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Question 26

Inhaled corticosteroids are primarily used for the chronic management of which condition?

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Question 27

What is a key piece of patient teaching regarding the discontinuation of corticosteroid therapy?

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Question 28

What effect can corticosteroids have on signs of infection?

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Question 29

What should a patient on corticosteroid therapy do before receiving any vaccinations?

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Question 30

Which of these is NOT a listed use for larger doses of corticosteroids?

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Question 31

What physical side effects should be discussed with a patient on corticosteroids that might affect their body image?

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Question 32

Which of the following describes the primary general action of corticosteroids?

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Question 33

For which of the following conditions is the safety of corticosteroid use during pregnancy and lactation not established?

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Question 34

One of the listed desired outcomes for corticosteroid therapy is the resolution of what type of conditions?

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Question 35

A patient taking corticosteroids and a potassium-losing diuretic is at increased risk for toxicity from which other drug?

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Question 36

In addition to systemic therapy, which dosage forms of corticosteroids are mentioned?

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Question 37

What is the primary rationale for using the lowest possible dose of corticosteroids for the shortest possible time?

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Question 38

Which of these is NOT a sign of adrenal insufficiency that a nurse should assess for?

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Question 39

What is one of the desired outcomes of corticosteroid therapy in cases of adrenal insufficiency?

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Question 40

Topical corticosteroids are used to treat a variety of what kind of conditions?

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Question 41

What patient teaching is crucial regarding abrupt withdrawal of corticosteroids?

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Question 42

What is the primary reason to assess involved systems prior to and periodically throughout the course of corticosteroid therapy?

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Question 43

A patient on long-term corticosteroid therapy should be encouraged to eat a diet low in which two macronutrients?

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Question 44

The use of corticosteroids is contraindicated in serious infections, with an exception for certain forms of what disease?

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Question 45

What is the rationale for assessing children's growth periodically while on corticosteroid therapy?

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Question 46

Which of these is NOT a symptom of adrenal insufficiency listed in the text?

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Question 47

If a daily dose of corticosteroid is ordered, how should it be administered to minimize gastric irritation?

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Question 48

What is the primary risk of using corticosteroids in a patient with a history of diabetes?

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Question 49

Besides adrenocortical insufficiency, replacement therapy with corticosteroids is one of the desired outcomes for which other condition?

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Question 50

Which nursing diagnosis relates to the immunosuppressive side effects of corticosteroids?

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Other chapters

HOW TO USE DAVIS'S DRUG GUIDE FOR NURSESEVIDENCE-BASED PRACTICE AND PHARMACOTHERAPEUTICS: Implications for NursesPHARMACOGENOMICSMEDICATION ERRORS: Improving Practices and Patient SafetyDETECTING AND MANAGING ADVERSE DRUG REACTIONSOVERVIEW OF RISK EVALUATION AND MITIGATION SYSTEMS (REMS)SPECIAL DOSING CONSIDERATIONSTHE CYTOCHROME P450 SYSTEMEDUCATING PATIENTS ABOUT SAFE MEDICATION USEAnti-Alzheimer's agentsAntianemicsAntianginalsAntianxiety agentsAntiarrhythmicsAntiasthmaticsAnticholinergicsAnticoagulantsAnticonvulsantsAntidepressantsAntidiabeticsAntidiarrhealsAntiemeticsAntifungalsAntihistaminesAntihypertensivesAnti-infectivesAntineoplasticsAntiparkinson agentsAntiplatelet agentsAntipsychoticsAntipyreticsAntirheumaticsAntiulcer agentsAntiviralsBeta blockersBone resorption inhibitorsBronchodilatorsCalcium channel blockersCentral nervous system stimulantsDiureticsHormonesImmunosuppressantsLaxativesLipid lowering agentsMinerals/electrolytes/pH modifiersNonopioid analgesicsNonsteroidal anti-inflammatory agentsOpioid analgesicsSedative/hypnoticsSkeletal muscle relaxantsThrombolyticsVaccines/immunizing agentsVitaminsDRUGS APPROVED IN CANADANATURAL/HERBAL PRODUCTSMEDICATION SAFETY TOOLSAppendix A. Recent Drug ApprovalsAppendix E. Administering Medications to ChildrenAppendix G. Pediatric Dosage CalculationsAppendix I. Controlled Substance SchedulesAppendix L. Insulins and Insulin TherapyAppendix M. Canadian and U.S. Pharmaceutical PracticesAppendix N. Routine Pediatric and Adult Immunizations