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 D
Explanation
a) Taking the medication to prevent asthma attacks is an appropriate use and does not require immediate intervention.
b) Using the rescue inhaler twice a month may indicate the need for further evaluation but does not pose an immediate threat.
c) Sleep disturbances are a known side effect of leukotriene blockers and may need attention, but it is not an urgent concern.
d) Expressing suicidal ideation and having a plan for self-harm is a critical situation that requires immediate intervention to ensure the client's safety and well-being.
Correct Answer is B
Explanation
A) Consuming extra fluids to prevent hypercalciuria is not directly related to the interaction between calcium supplements and ciprofloxacin.
B) Calcium interferes with the absorption of ciprofloxacin, so they should be taken at least six hours apart to avoid decreased effectiveness of the antibiotic.
C) Stopping calcium supplements may not be necessary, but proper timing is crucial.
D) Taking the medications together can reduce the absorption of both, so they should be spaced apart.
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