A nurse tells a nursing student that glucocorticoids given for rheumatoid arthritis are nearly identical to substances produced naturally by the body. The student remarks that the drug must be very safe. Which response by the nurse is correct?
"The negative feedback loop prevents side effects."
"As long as the drug is taken as prescribed, side effects usually do not occur."
"By interrupting the inflammatory process, these drugs inhibit side effects."
"Side effects can occur and are dependent on the dose and duration of treatment."
The Correct Answer is D
a) While the negative feedback loop plays a role in the body's natural regulation of corticosteroids, it does not eliminate the potential for side effects when exogenous glucocorticoids are administered.
b) Taking the drug as prescribed does not guarantee the absence of side effects. Side effects are inherent to glucocorticoid therapy and can occur even with appropriate use.
c) Interrupting the inflammatory process does not directly inhibit side effects. The anti inflammatory action is the therapeutic effect, but it does not eliminate the potential for side effects.
d) Glucocorticoids, even those produced naturally by the body, can cause side effects, and the likelihood and severity of these side effects depend on the dose and duration of treatment. Regular monitoring and appropriate management are essential.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Jaundice may indicate liver dysfunction, which can be a serious side effect of androgen use. It requires prompt notification of the healthcare provider.
b) Acne, increased libido, and increased facial hair are common side effects of androgens but may not be considered as urgent or concerning as jaundice.
c) Increased libido and increased facial hair are expected effects of androgens and may not require immediate notification.
d) Increased facial hair is an expected effect of androgens and may not warrant immediate provider notification unless there are other concerning symptoms.
Correct Answer is A
Explanation
A) Antibiotics can interact with warfarin, potentially affecting the INR, so dose adjustments may be necessary.
B) Pink urine is not an expected side effect of warfarin; this statement is inaccurate.
C) Eating spinach to increase iron count is not a relevant action related to warfarin or INR levels.
D) Warfarin interacts with many substances, including herbal remedies and aspirin. Notifying the provider before taking new medications or supplements is crucial for proper management.
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