An elderly man has been taking an adult-strength dose of the topical steroid hydrocortisone for the past four weeks. He has developed thin skin and stria along his back, which are physical indications of toxicity. Which of the following might have led to the toxic effects of the steroid?
A. An increase in the metabolic activity of the liver
B. An increase in the rate at which the drug is excreted by the kidneys
C. A reduction in the amount of the drug absorbed by the intestine
D. A buildup of the drug in the adipose tissues
Answer: D
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Opioids such as hydromorphone, fentanyl, and meperidine can cause excessive CNS de-pression in both the mother and newborn
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The nurse notes that a patient has a white coating on the tongue and that the patient reports a sore throat. Which question would be most appropriate for the nurse to ask?
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A 30-year-old woman who lives alone in an apartment has been involved in several conflicts with her next door neighbor over the volume of the woman's music
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