A nurse is talking to a client who wants to stop taking glucocorticoids after taking them for 3 months. Which statement by the client indicates a good understanding of the teaching about withdrawal?
"I should monitor for Cushing's symptoms during the withdrawal process."
"Once I am off of the steroids, I should never take them again."
"I should not try to taper off the medication without consulting my provider."
"I should reduce the dose by half each day until I am at 5mg, then I can stop the medication."
The Correct Answer is C
a) Monitoring for Cushing's symptoms is important, but it is not a statement indicating a good understanding of the withdrawal process from glucocorticoids.
b) Telling the client to never take steroids again is an overly generalized statement and does not reflect a nuanced understanding of the medication.
c) Not attempting to taper off the medication without consulting the provider is the correct approach. Abrupt discontinuation can lead to adrenal insufficiency, and the tapering schedule should be individualized.
d) Reducing the dose by half each day without proper guidance may result in withdrawal symptoms and is not a recommended strategy.
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Related Questions
Correct Answer is C
Explanation
A) Stopping routine asthma medications may actually increase the risk of complications, including exacerbation of asthma and potential harm to the baby.
B) Stopping all routine medications is not recommended without consulting a healthcare provider.
C) Many asthma medications are considered safe during pregnancy, and managing asthma is important for both maternal and fetal health.
D) There is a need for concern, and it is essential for pregnant women with asthma to work with their healthcare providers to manage their condition appropriately.
Correct Answer is D
Explanation
a) Itraconazole is typically administered orally for fungal infections, not applied topically. This statement is incorrect.
b) Using the medication for at least one week after symptoms have cleared is not a standard instruction for itraconazole. Treatment duration is usually prescribed by the healthcare provider.
c) Sun exposure does not minimize the effects of itraconazole. This statement is inaccurate.
d) Itraconazole is not usually applied topically, but this option is the closest to the correct information. However, the more accurate statement would be that itraconazole is effective when taken systemically for fungal infections.
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