A diabetic patient is receiving methylprednisolone (Solu-Medrol). What medication changes can the health care provider anticipate that this patient may require?
a. An increased dose of the corticosteroid
b. A decreased dose of the corticosteroid
c. An increased dose of the antidiabetic drug
d. A decreased dose of the antidiabetic drug
ANS: C
High doses of glucocorticoids increase serum glucose levels. Therefore insulin and oral hypogly-cemic drugs used for diabetes mellitus may appear ineffective. Increased dosages of the antidia-betic drugs may be required.
You might also like to view...
The patient tells the nurse that he gets a headache after taking an antihypertensive medication. What is the explanation for this?
a. Uncommon symptom b. Side effect c. Drug interaction d. Desired effect
Your patient was in car accident while not wearing a seatbelt and has sustained multiple rib fractures. During assessment, the nurse practitioner is having a hard time hearing heart sounds, and the patient reports chest pain/pressure repeatedly. What's going on?
In most states, adolescents who are not emancipated minors must have the permission of their parents before:
a. Treatment for drug abuse b. Treatment for sexually transmitted diseases (STDs) c. Accessing birth control d. Surgery
When changing the client's abdominal dressing on the second postoperative day, the nurse notes crusting on about half of the suture line and oozing of a small amount of serosangui-neous drainage. What is the nurse's best action?
A. Clean the suture line gently and apply new dressings. B. Gently remove the crusts and culture the material beneath. C. Remove the sutures or staples in the area where crusts have formed. D. Apply a binder over the incision and notify the surgeon.