Question

40. A client is seen in the primary care provider’s office with reports of polydipsia and polyuria without polyphagia. An assessment notes very edematous ankles and an elevation of blood pressure. These data support which diagnosis associated with the adrenal cortex?

a. Hyperal dosteronism

b. Adrenocortical hyperfunction

c. Androgen-producing tumors

d. Adrenal hyperplasia

41. A client is to be discharged with a prescriptiu9on for prednisone to be administered every other day at 09:00 AM. When implementing discharge teaching, what should the nurse explain as th4 rationale for giving the medication every other day?

a. It reduces adverse effects.

b. It prolonged therapeutic effects.

c. It prevents steroid tolerance.

d. It increases effectiveness.

42. A client with a diagnosis of breast cancer is administered a corticosteroid in addition to chemotherapy agents. What effect will the corticosteroids have on this client’s course of recovery?

a. The corticosteroid will decrease signs and symptoms of cancer.

b. The corticosteroid will alter the action of the chemotherapy agent.

c. The corticosteroid will decrease metastasis to distant sites.

d. The corticosteroid will decrease hepatic effects of the chemotherapy.

43. An adult client has been prescribed oral prednisone for the treatment of an acute dermatological condition. When teaching this client about this course of treatment, what teaching point should the nurse emphasize?

a. The need to supplement prednisone with high doses of vitamin D

b. The need to avoid drinking grapefruit juice for the duration of treatment

c. The importance of gradually reducing rather than abruptly stopping the drug

d. The importance of matching each day’s dose to the severity of symptoms

Answer 1

40.In hyperaldosteronism there is increased secretion of aldosterone.This may cause hyperkalemia and alkolosis.Increased sodium decreased magnesium polyuria and polydipsia without polyphagia

Adrenocortico hyperfunction leaders to Cushing syndtprom eor hyoeraldosteonism

Androgen producing tumour and adrenal hyperplasia usually leads to alteration in sex hormone

Ans:a.Hyperaldosteronism

41.Prednisone is a steroid (glucocorticoid) which has the action to suppress immen system and reduce inflammation. The doctor prescribes this drug at specific period of time in a day and it has to be followed.This drug has major side effects unless benefits outweighs drawbacks it is not prescribed .When it is prescribed every alternate days it reduces the symptoms associated with less pituitary adrenal suppression

Ans:a.It reduces adverse effects

42.Steroids has an ability to control the signs and symptoms by reducing the growth and apoptosis. It also pr event nausea and vomiting due yo chemotherapy

Ans:a.The corticosteroid will decrease signs and symptoms

43.While taking prednisone it is a must to avoid certain types of citric fruits especially grape fruit or juice because it will decrease the process in the gut and increasing its level in blood causing severe adverse reactions

Ans.b.The need to avoid grapefruit juice during the duration of treatment