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Pharm 2
Adrenal cortex Drug therapy
| Question | Answer |
|---|---|
| Hydrocortisone is a synthetic steroid with a structure identical to which hormone? | Cortisol |
| The nurse is administering pasiriotide to a patient with Cushing’s disease secondary to a pituitary tumor. Which phrase describes the rationale for using this drug? | To block production of adrenocorticotropic hormone (ACTH) |
| A patient is admitted to the emergency department with acute adrenal crisis. Which drug would the nurse anticipate administering? | Hydrocortisone |
| When teaching a patient about the most common side effects of hydrocortisone, which information would the nurse include? | -Heartburn or indigestion -Insomnia and mood swings -Delayed wound healing |
| Which concerns would the nurse address when teaching patients about long-term hydrocortisone therapy for Addison’s disease? | -Potential infections -Drug interactions -Medication compliance |
| A female patient with Addison’s disease has started taking fludrocortisone in addition to hydrocortisone. She calls the clinical nurse to report feet swelling and a headache. Which action should the nurse take? | Instruct the patient to come to the clinic for further evaluation. |
| A patient with Addison’s disease is upset about weight gain and wants to stop taking hydrocortisone and fludrocortisone. Which response would the nurse make? | "If you stop taking the medications, you may have severe side effects." |
| Which foods would the nurse advise patients on long-term fludrocortisone for Addison’s disease to include in their diet? | Foods rich in potassium |
| Hydrocortisone is prescribed to a patient newly diagnosed with Addison’s disease. When reviewing current medications taken by the patient, the nurse is aware that hydrocortisone could increase the action of which drugs? | -buprofen, a nonsteroidal antiinflammatory drug, for pain -Metformin, an antidiabetic drug -Furosemide, a loop diuretic |
Created by:
Lightnning54
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