Nokea
A client is receiving treatment with adrenocorticotropic hormone. The nurse would instruct the client to avoid receiving which vaccine? Select all that apply.
- A. Zostavax (shingles)
- B. Meruvax (rubella)
- C. Td (tetanus and diphtheria)
- D. Fluzone (influenza)
- E. Attenuvax (measles)
Correct Answer: A,B,E
Rationale: Clients taking ACTH should avoid any vaccination with live virus including Zostavax, Meruvax, and Attenuvax.
You may also like to solve these questions
Which of the following should be included in the nurse's preadministration assessment of a client about to receive adrenocorticotropic hormone (ACTH)? Select all that apply.
- A. Lung auscultation
- B. Mental status assessment
- C. Height
- D. Pulse
- E. Skin integrity assessment
Correct Answer: A,B,D,E
Rationale: Blood pressure, pulse, respiratory rate, temperature, weight, skin integrity assessment, mental status assessment, and lung auscultation should be included in the nurse's preadministration assessment of a client about to receive ACTH.
Which of the following hormones would the instructor include as being secreted by the anterior pituitary gland? Select all that apply.
- A. Growth hormone
- B. Adrenocorticotropic hormone
- C. Vasopressin
- D. Prolactin
- E. Oxytocin
Correct Answer: A,B,D
Rationale: Prolactin, adrenocorticotropic hormone, growth hormone, luteinizing hormone, follicle-stimulating hormone, and thyroid-stimulating hormone are secreted by the anterior pituitary gland. Vasopressin and oxytocin are secreted by the posterior pituitary gland.
Which of the following adrenocortical hormone drugs influence or regulate functions such as the immune response; glucose, fat, and protein metabolism; and the anti-inflammatory response? Select all that apply.
- A. Betamethasone (Celestone)
- B. Fludrocortisone (Florinef)
- C. Budesonide (Entocort EC)
- D. Hydrocortisone (Cortef)
- E. Dexamethasone (Decadron)
Correct Answer: A,C,D,E
Rationale: Glucocorticoids, like betamethasone (Celestone), budesonide (Entocort EC), hydrocortisone (Cortef), and dexamethasone (Decadron), influence or regulate functions such as the immune response; glucose, fat, and protein metabolism; and the anti-inflammatory response.
A client is receiving corticosteroid therapy. Which nursing diagnosis would the nurse be least likely to identify for this client?
- A. Risk for Infection
- B. Disturbed Body Image
- C. Risk for Injury
- D. Deficient Fluid Volume
Correct Answer: D
Rationale: A client who is receiving corticosteroid therapy would be least likely to have a nursing diagnosis of Deficient Fluid Volume. Rather, Excess Fluid Volume would be more appropriate. Risk for Infection related to immunosuppression, Disturbed Body Image related to cushingoid effects, and Risk for Injury related to muscle atrophy and osteoporosis would be appropriate.
A nurse is assessing a client who is receiving desmopressin therapy and suspects that the client is experiencing water intoxication. Which of the following would support the nurse's suspicions? Select all that apply.
- A. Drowsiness
- B. Headache
- C. Confusion
- D. Abdominal pain
- E. Diarrhea
Correct Answer: A,B,C
Rationale: Symptoms of water intoxication include drowsiness, listlessness, confusion, and headache (which may precede convulsions and coma). Abdominal pain and diarrhea are not associated with water intoxication.