A patient is receiving a glucocorticoid medication to treat an exacerbation of COPD and the provider has ordered a slow taper in order to discontinue this medication. The nurse explains to the patient that this is done to prevent which condition?
Adrenocortical insufficiency
Thyroid storm
Acromegaly
Hypertensive crisis
The Correct Answer is A
A. Adrenocortical insufficiency
Tapering glucocorticoid medications is done to prevent adrenocortical insufficiency, also known as adrenal insufficiency or adrenal suppression. Prolonged use of glucocorticoids can suppress the natural production of cortisol by the adrenal glands. Abrupt discontinuation of glucocorticoids can lead to adrenal insufficiency, characterized by symptoms such as fatigue, weakness, weight loss, and potentially life-threatening complications.
B. Thyroid storm
Thyroid storm is a severe and life-threatening condition related to overactivity of the thyroid gland. It is not a consequence of tapering glucocorticoids.
C. Acromegaly
Acromegaly is a disorder characterized by the excessive production of growth hormone, often caused by a pituitary tumor. It is not related to glucocorticoid tapering.
D. Hypertensive crisis
Hypertensive crisis refers to a severe and abrupt increase in blood pressure. It is not a known consequence of tapering glucocorticoid medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Epinephrine
Epinephrine is a bronchodilator that can be used in emergencies to treat acute bronchospasm. It works by relaxing the smooth muscles in the airways and can be administered via inhalation or injection. However, it is not typically the first-line treatment for COPD, and other bronchodilators are often preferred.
B. Montelukast (Singulair)
Montelukast is a leukotriene receptor antagonist that is used for the long-term control and prevention of symptoms in conditions like asthma, but it is not typically used for acute bronchospasm. It is more commonly used for maintenance therapy to prevent exacerbations.
C. Theophylline
Theophylline is a bronchodilator that can be used to treat acute bronchospasm in COPD. However, it is not commonly used as a first-line treatment due to its narrow therapeutic range and potential for side effects. It may be considered in certain cases when other bronchodilators are not well-tolerated or effective.
D. Tiotropium Bromide (Spiriva)
Tiotropium bromide is a long-acting antimuscarinic bronchodilator used for the long-term maintenance treatment of COPD. It is not typically prescribed for the treatment of acute bronchospasm but rather for the prevention of symptoms over the long term.
Correct Answer is ["A","B","C"]
Explanation
A. Chest X-rays
Chest X-rays are imaging tests that provide detailed pictures of the inside of the chest, including the heart, lungs, and other structures. They are noninvasive as they do not involve any penetration or insertion into the body.
B. Echocardiogram
An echocardiogram is a noninvasive test that uses sound waves to create images of the heart. It provides information about the structure and function of the heart without the need for invasive procedures.
C. Pulmonary function tests
Pulmonary function tests (PFTs) are noninvasive tests that assess the function of the lungs. They include various breathing exercises and measurements to evaluate lung capacity and respiratory function.
D. Cardiac catheterization
Cardiac catheterization is an invasive procedure that involves the insertion of a catheter into the heart. It is not considered noninvasive.
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