Practice Quiz

NCLEX-PN

Category - Pharmacological Therapies

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A female client admitted for Addison’s disease is prescribed hydrocortisone and fludrocortisone. Which of the following statements made by the client indicates that reinforcement of the teaching is necessary?
  1. “I need to monitor my blood pressure every day.”
  2. “I should eat foods high in potassium.”
  3. “I should not discontinue my medication without first consulting my physician.”
  4. “I expect my doctor to decrease my dose if I get sick or under a lot of stress.”
Explanation
Answer: D - Corticosteroids may have to be increased during periods of stress and surgery. The client has to monitor her blood pressure and blood glucose because hypertension and hyperglycemia are common side effects of corticosteroid therapy. The client has to eat foods high in potassium because steroid therapy increases the risk for hypokalemia. Abrupt discontinuance of medication is not recommended until a physician is consulted.
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