The nurse is caring for a patient taking glucocorticoids fortreatment of Addison’s disease. Which of the following are correctnursing implications? Select all that apply.
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Teach patient signs and symptoms of Cushing’s syndrome and tonotify provider |
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Educate patient to stop taking drug when symptoms abate |
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Teach patient importance of regular follow-up for lab checks |
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Teach patients that drug replacement is lifelong |
The clinical nursing instructor is preparing a lecture on drugsfor adrenocortical insufficiency. Which of the following optionswill the instructor correctly include in the review? Select allthat apply.
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These drugs cause significant adverse effects at low doses |
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Hydrocortisone is a synthetic steroid with a structure identicalto that of cortisol, the principal glucocorticoid produced by theadrenal cortex. |
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Hydrocortisone and other glucocorticoids are used to treat abroad spectrum of nonendocrine disorders, ranging from allergicreactions to inflammation to cancer. The doses required areconsiderably higher than those employed for replacementtherapy. |
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Hydrocortisone is a preferred drug for all forms ofadrenocortical insufficiency. |
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Fludrocortisone causes elevation of blood pressure due tomineralocorticoid actions |
A clinic nurse is performing teaching the parent of a child witha growth hormone deficiency. Which of the following will the nurseinclude in patient education? Select all that apply.
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Height and weight must be monitored monthly. |
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Continue therapy until a satisfactory adult height has beenachieved, until epiphyseal closure occurs, or until a response canno longer be elicited (usually by age 20 to 24). |
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Medication is administered by injection only and subcutaneous ispreferred |
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Medication is administered PO TID and should be taken withfood |
The nurse is preparing to administer the antidiuretic hormonevasopressin. Which of the following does the nurse know are correctregarding this drug? Select all that apply.
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Teach the patient to monitor and record daily intake and outputof fluid. |
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Inform patients about early signs of water intoxication(drowsiness, listlessness, headache), and instruct them to notifythe prescriber if these occur. |
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Diabetes insipidus is the same as diabetes mellitus |
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Educate patient that drug treatment should cure diabetesinsipidus within 30 days. |
The nurse is preparing to discharge a patient that will betaking insulin at home. Which of the following are appropriatenursing implementations?
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Ensure patient and family know the onset and peak times forinsulin in relations to meal schedule |
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Insulin should be stored in the freezer |
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Educate patient and family about signs and symptoms ofhypoglycemia and treatment steps. |
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Ensure patient and/or family are able to perform insulininjections correctly |
