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Questions

Question 1

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

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Question 2

In addition to their anti-inflammatory effects, for what other two activities are larger doses of corticosteroids typically used?

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Question 3

Under what condition are corticosteroids generally contraindicated, with the exception of certain forms of meningitis?

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Question 4

What is a significant consequence of prolonged treatment with corticosteroids?

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Question 5

Why is it important not to discontinue corticosteroids abruptly?

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Question 6

What is the potential effect of long-term corticosteroid use in children?

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Question 7

When corticosteroids are used with potassium-losing diuretics, what additive effect can occur?

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Question 8

What risk is increased by the hypokalemia that can result from corticosteroid use?

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Question 9

How might corticosteroids affect the requirements for insulin or oral hypoglycemic agents?

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Question 10

To coincide with the body's normal secretion of cortisol, when should daily or every-other-day doses of corticosteroids be administered?

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Question 11

What dietary recommendations should be encouraged for patients on long-term corticosteroid therapy?

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Question 12

Which of the following are signs of adrenal insufficiency that a nurse should assess for in a patient taking corticosteroids?

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Question 13

According to the general use section, which hormone is used in the treatment of diabetes mellitus?

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Question 14

What condition is desmopressin used to treat?

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Question 15

Besides their use in managing menopause symptoms, for what other purpose are estrogenic and progestational hormones used?

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Question 16

What is the general action of hormones as described in the text?

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Question 17

What two parameters should be monitored periodically throughout therapy with sex hormones?

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Question 18

What is a key instruction regarding the administration schedule of sex hormones during hospitalization?

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Question 19

What signs and symptoms should a patient taking female sex hormones be advised to report to their health care professional?

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Question 20

What is an expected outcome for the use of hormone therapy in postmenopausal women related to bone health?

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Question 21

What is the mechanism of action for hormonal agents such as bicalutamide and flutamide in treating sensitive tumors?

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Question 22

Anastrozole and letrozole are classified as what type of hormonal agents?

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Question 23

What is the specific action of hormonal agents that are classified as aromatase inhibitors?

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Question 24

According to the table 'MECHANISM OF ACTION OF VARIOUS ANTINEOPLASTICS', which of the following is listed as a hormonal agent that alters the hormonal status in sensitive tumors?

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Question 25

Inhalant corticosteroids are used in the chronic management of what condition?

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Question 26

What is a potential consequence of prolonged use of large amounts of topical or inhaled corticosteroids?

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Question 27

Why might patients taking corticosteroids require additional doses during times of stress, such as surgery and infection?

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Question 28

What is a key precaution regarding vaccination for patients on larger doses of corticosteroids?

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Question 29

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

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Question 30

Which of the following is listed as a potential nursing diagnosis related to the side effects of corticosteroids?

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Question 31

What instruction should be given to patients taking corticosteroids to avoid potential infections?

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Question 32

What is a key evaluation outcome for corticosteroid therapy in the context of autoimmune disorders?

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Question 33

Intranasal and ophthalmic corticosteroids are used to manage what type of chronic conditions?

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Question 34

What is the effect of oral contraceptives on corticosteroid metabolism?

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Question 35

What is the recommended therapeutic approach to long-term corticosteroid treatment to minimize adverse effects?

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Question 36

What is the recommended implementation step for administering PO corticosteroids to minimize gastric irritation?

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Question 37

Thyroid hormones are used to treat what deficiency state?

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Question 38

In certain selected situations, what are androgens and estrogens used to treat?

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Question 39

Which potential nursing diagnosis is listed under the 'Indications' category for hormones?

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Question 40

What is a key part of patient and family teaching regarding the dosage schedule for female sex hormones?

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Question 41

Why is it important to emphasize follow-up exams for children receiving hormone therapy?

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Question 42

What is a desired outcome of hormone therapy for advanced metastatic breast or prostate cancer?

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Question 43

What is a key desired outcome for hormone therapy in terms of resolving clinical symptoms?

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Question 44

What is the mechanism of action of raloxifene as a bone resorption inhibitor?

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Question 45

In which group of patients is the use of raloxifene contraindicated?

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Question 46

What is the interaction between cholestyramine and raloxifene?

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Question 47

Antineoplastic drugs may cause gonadal suppression. What advice regarding contraception should be given to patients receiving these drugs?

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Question 48

What is the cell-cycle effect of hormonal agents like bicalutamide and anastrozole, according to the mechanism of action table?

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Question 49

What specific drug is listed as a testosterone (androgen) under the 'HORMONAL AGENTS' category for treating sensitive tumors?

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Question 50

What should a patient on long-term corticosteroid therapy be advised to carry in case of an emergency?

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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 stimulantsCorticosteroidsDiureticsImmunosuppressantsLaxativesLipid 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