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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An overweight, sedentary middle-aged smoker with a family history of cardiac disease has noticed a steady rise in resting blood pressure over a 3- to 4-year period
The patient is concerned about his slightly elevated blood pressure and begins walking 20 to 30 minutes in the evenings with his wife and reduces his pack-a-day cigarette habit to ten cigarettes a day. This person has taken the first steps in: a. risk factor reduction. b. self-actualization. c. self-transcendence. d. health promotion.
The patient has informed the nurse that she feels it is too late to stop smoking and that smoking cessation is futile at this time. How can the nurse best assist the patient to stop smoking?
A) Have the patient decrease the number of cigarettes per day. B) Encourage the patient to quit "cold turkey." C) Show the patient pictures of diseased lungs. D) Help the patient to develop a plan to quit and suggest a formalized program available in the community.
The daughter in a family consisting of a father, mother, and two sons describes the family to the
nurse, saying "We are like most families. Dad is always angry and expects us to know why without having to tell us his problem. Mom is always trying to smooth things over. Tom is always messing up but never takes any blame. Jim stays in his room and hides from the rest of us. And I play the part of the sweet little girl to get my own way.". The daughter's description gives evidence of her use of a. projection. b. rationalization. c. generalizing. d. identification.
The nurse counsels a patient who has just started antihypertensive therapy with captopril. Select the best instruction regarding the administration of this drug
a. Take the captopril with dinner. b. Take the captopril once in the morning. c. Take the captopril 1 hour before meals. d. The captopril will be administered intravenously.