NEW
Font size
WorksheetsAbrams Chapter 45
Total questions: 20
Worksheet time: 10mins
A client has developed Cushing's disease. What endogenous hormone will be decreased by the administration of ketoconazole?
Insulin
Cortisol
Antidiuretic hormone
Erythropoietin
The nurse is caring for a client with Addison's disease who has been prescribed hydrocortisone. What is the desired effect of this drug?
Increase the reabsorption of potassium.
Increase the release of insulin.
Replace adrenocorticoids.
Increase the release of renin.
The nurse is reviewing the laboratory values of a client receiving fludrocortisone. What finding requires immediate intervention?
Serum potassium level of 5.1 mEq/L
Serum potassium level of 3.1 mEq/L
Serum sodium level of 142 mEq/L
Serum sodium level of 135 mEq/L
The nurse is caring for a client who is prescribed mitotane for the treatment of Cushing's disease. The nurse should question the order if the client has a history of what?
Thyroid disorder
Diabetes insipidus
A client with Addison's disease is being treated with hydrocortisone. What should the nurse instruct the client to do?
Avoid vaccines.
Increase potassium intake.
Restrict sodium intake.
Avoid potassium-rich foods.
A client being treated with mitotane reports severe nausea, vomiting, and dizziness. What action should the nurse take?
Hold the dose and notify the health care provider.
Administer an antiemetic and monitor the client.
Increase fluid intake and reassess in 1 hour.
Continue medication and document the symptoms.
What is the mechanism of action of fludrocortisone in the treatment of adrenal insufficiency?
Promotes sodium reabsorption and potassium excretion.
Stimulates the release of cortisol from the adrenal glands.
Decreases inflammation by stabilizing lysosomes.
Suppresses the immune system response.
The nurse is educating a client receiving hydrocortisone about signs of excessive dosing. What should the client be instructed to report?
Weakness and fatigue
Weight loss and hypotension
Moon face and buffalo hump
A client taking hydrocortisone asks about side effects. The nurse explains that long-term therapy may cause which of the following?
Osteoporosis
Hyperkalemia
Weight loss
Hypoglycemia
A nurse is providing discharge instructions to a client with Addison’s disease who will be taking fludrocortisone. What dietary adjustment should the nurse recommend?
Increase potassium-rich foods.
Decrease calcium intake.
Avoid sodium-rich foods.
Increase protein intake.
A client with a diagnosis of Cushing’s syndrome has been prescribed mitotane. What education should the nurse prioritize?
The need to avoid alcohol while taking this medication.
The importance of adhering to a low-fiber diet.
The need to measure blood glucose levels four times daily.
The importance of a high-potassium, low-sodium diet.
What laboratory value should the nurse monitor closely in a client receiving fludrocortisone?
Blood glucose
Serum potassium
Hemoglobin
White blood cell count
When administering ketoconazole, what is an important consideration for absorption?
Take with food.
Take on an empty stomach.
Avoid acidic beverages.
Take with a full glass of milk.
A client on long-term corticosteroid therapy requires surgery. What adjustment in therapy is expected?
A. Dose will be decreased.
B. Dose will remain the same.
C. Dose will be increased.
D. Corticosteroids will be discontinued.
Hydrocortisone therapy should be administered at what time to mimic the body's natural secretion pattern?
In the evening
Before lunch
In the morning
At bedtime
A patient is taking fludrocortisone acetate for adrenal insufficiency. Which of the following symptoms indicates that the patient is hypokalemic?
tetany
irregular pulse rate
decreased pulse rate
muscle weakness
The administration of fludrocortisone is necessary in which of the following conditions?
hypoglycemia
hypernatremia
hypercalcemia
hyperphosphatemia
A patient receives a prescription of hydrocortisone for adrenal insufficiency. It is necessary to report which of the following conditions to the primary healthcare provider?
fever
headache
insomnia
neuropathic pain
A patient has received a diagnosis of Cushing disease and is taking ketoconazole. Which of the following conditions affects the treatment plan?
hypertension with administration of hydrochlorothiazide
type 2 diabetes with the administration of metformin
migraine headaches with the administration of ergotamine
heart failure with the administration of digoxin
A patient receiving mitotane for an inoperable adrenocortical carcinoma is admitted to the emergency department following an automobile accident. The patient is diaphoretic and unresponsive. The patient’s blood pressure is 80/30 mm Hg. What medication should the nurse anticipate administering?
a steroid
an anticoagulant
a beta-adrenergic blocker
a sulfonylurea
