The nurse instructs a client receiving long-term corticosteroid replacement therapy to have annual eye examinations because of the risk of developing:
Standard Text: Select all that apply.
1. glaucoma.
2. cataracts.
3. detached retina.
4. retinopathy.
5. macular degeneration.
Correct Answer: 1,2
Rationale 1: Open-angle glaucoma is a frequent adverse effect of long-term corticosteroid therapy.
Rationale 2: Cataracts are a frequent adverse effect of long-term corticosteroid therapy.
Rationale 3: Detached retina is not an adverse effect of long-term corticosteroid therapy.
Rationale 4: Retinopathy is not an adverse effect of long-term corticosteroid therapy, although it might occur as an effect of uncontrolled blood glucose levels, as seen in diabetes mellitus.
Rationale 5: Macular degeneration is not an adverse effect of long-term corticosteroid therapy.
Global Rationale: Open-angle glaucoma and cataracts are frequent adverse effects of long-term corticosteroid therapy. Retinopathy is not an adverse effect of long-term corticosteroid therapy, although it might occur as an effect of uncontrolled blood glucose levels, as seen in diabetes mellitus. Macular degeneration and detached retina are not adverse effects of long-term corticosteroid therapy.
You might also like to view...
A client with a head injury is demonstrating signs of increased intracranial pressure (IICP). Which classifications of medications should the nurse prepare to administer to this client?
Select all that apply. A) Loop diuretics B) Antibiotics C) Anticonvulsants D) Histamine H2 antagonists E) Antipyretics
A young adolescent client is concerned about experiencing severe cramps with menstruation. What should the nurse respond to this client?
A) "This is not normal but is something that can be treated." B) "You have cramps because you started your periods too early." C) "Cramps are seen in those who just start having periods and will become less severe as you get older." D) "You need to see a gynecologist for a pelvic examination."
A client presents to the emergency department via ambulance with a heart rate of 210 beats/minute and a sawtooth waveform pattern per cardiac monitor
The nurse is most correct to alert the medical team of the presence of a client with which disorder? A) Asystole B) Premature ventricular contraction C) Atrial flutter D) Ventricular fibrillation
A client with Addison's disease has a blood glucose level above 80 mg/dL 30 minutes after receiving 15 g of carbohydrates for symptoms of hypoglycemia. Which of the following would the nurse do now?
A) Inform the physician immediately. B) Give the client milk and graham crackers. C) Instruct the client to remain in bed. D) Check the client's blood glucose level before each meal.