A client in anaphylactic shock receives a dose of hydrocortisone (Solu-Cortef). The nurse recognizes that the desired action of this medication is to:
1. raise serum oncotic pressure.
2. inhibit the inflammatory process.
3. stimulate the sympathetic nervous system.
4. raise circulating glucose levels.
Correct Answer: 2
Rationale 1: Solu-Cortef is not used to raise serum oncotic pressure.
Rationale 2: Corticosteroids frequently are used to suppress the inflammatory and immune responses.
Rationale 3: Solu-Cortef is not used to stimulate the sympathetic nervous system.
Rationale 4: Although intravenous corticosteroids can increase serum glucose levels, they have another purpose when used for anaphylactic shock.
Global Rationale: Corticosteroids frequently are used to suppress the inflammatory and immune responses. Although intravenous corticosteroids can increase serum glucose levels, they have another purpose when used for anaphylactic shock. They are not used to raise serum oncotic pressure or to stimulate the SNS.
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