Which disorders may be treated with glucocorticoids? (Select all that apply.)

a. Allergic rhinitis
b. Anaphylaxis
c. Bronchiolitis
d. Gout
e. Ulcerative colitis


A, D, E
Glucocorticoids are used topically for allergic rhinitis and are given systemically for gout and ulcerative colitis. They are not useful in anaphylactic reactions, for which epinephrine is the drug of choice, or in bronchiolitis, which generally is induced by a virus, not by an immune response.

Nursing

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A client with long-standing pulmonary problems is classified as having class III dyspnea. Based on this classification, what type of assistance does the nurse anticipate providing for ADLs?

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A. "This problem greatly increases your risk for breast cancer, so be sure to schedule yearly mammograms." B. "This problem progressively increases as you age, especially if you have never been pregnant." C. "This problem will probably diminish with menopause if you don't take replace-ment hormones." D. "This problem is genetic and you should teach your daughters about it."

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Which nursing intervention is most effective in preventing hospital-acquired pneumonia in an older-adult patient?

a. Discontinue the humidification delivery device to keep excess fluid from lungs. b. Monitor oxygen saturation, and frequently auscultate lung bases. c. Assist the patient to cough, turn, and deep breathe every 2 hours. d. Decrease fluid intake to 300 mL a shift.

Nursing