Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Endocrine

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The client with Addison’s disease is ordered glucocorticoid therapy. Which of the following statements indicates that the client has a correct understanding of the medication regimen?
  1. “Dosage adjustments in my medication dosages may be needed.”
  2. “On days I feel good, I will not need to take the medication.”
  3. “”I will adjust my dosages based on my home blood glucose test results.”
  4. “I am on an every-other-day dosing regimen.”
Explanation
Answer - A - “Dosage adjustments in my medication dosages may be needed.” Glucocorticoid medication therapy is established with a basal dose. The typical regimen begins with two-thirds of the daily dose taken in the morning (8 AM) and the remaining one-third later (4 PM) in the day. This regimen closely resembles the diurnal pattern of secretion. Glucocorticoid medications do not have a cumulative effect and must be taken daily. Glucocorticoid needs fluctuate according to daily life events and/or stressors.
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