A client diagnosed with type 1 diabetes is prescribed prednisone for acute exacerbation of inflammatory bowel disease.Which intervention should the nurse discuss with the client?

Monitoring blood glucose levels more frequently.

Increasing sodium intake.

Stopping all other diabetes medications.

Skipping meals to prevent hyperglycemia.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Monitoring blood glucose levels more frequently is critical when a client with type 1 diabetes is taking prednisone, as corticosteroids can raise blood glucose levels and potentially cause hyperglycemia.

Choice B rationale

Increasing sodium intake is not recommended for clients with type 1 diabetes and is unrelated to the management of prednisone-induced hyperglycemia.

Choice C rationale

Stopping all other diabetes medications is inappropriate and can lead to uncontrolled blood glucose levels. Adjustments may be needed, but discontinuation is not advised without medical supervision.

Choice D rationale

Skipping meals to prevent hyperglycemia is not a safe practice for clients with type 1 diabetes. Maintaining a balanced diet and monitoring blood glucose levels is essential.

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Correct Answer is B

Explanation

Choice A rationale

Hypertension is not typically a sign of heart failure related to cor pulmonale. It is more associated with systemic issues rather than pulmonary complications.

Choice B rationale

Peripheral edema is a common sign of heart failure and cor pulmonale due to increased pressure in the venous system, leading to fluid accumulation in the tissues.

Choice C rationale

Increased respiratory rate may occur but is not specific to heart failure in cor pulmonale.

Choice D rationale

Cough with pink-tinged sputum is more indicative of pulmonary edema related to left-sided heart failure rather than cor pulmonale.

A. Use the inhaler before engaging in physical activity. B. Skip doses if symptoms improve. C. Use the inhaler only when experiencing severe symptoms. D. Double the dose if symptoms do not improve immediately.

Correct Answer is A

Explanation

Choice A rationale

Using the inhaler before engaging in physical activity helps to prevent exercise-induced bronchospasm, which is common in patients with COPD.

Choice B rationale

Skipping doses if symptoms improve is not recommended as it can lead to suboptimal control of COPD and potential exacerbations.

Choice C rationale

Using the inhaler only when experiencing severe symptoms is not effective in managing COPD. Regular use as prescribed helps maintain lung function and prevent exacerbations.

Choice D rationale

Doubling the dose if symptoms do not improve immediately is not safe and can lead to adverse effects. Patients should follow the prescribed dosage and consult their healthcare provider if symptoms persist.

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A client diagnosed with type 1 diabetes is prescribed prednisone for acute exacerbation of inflammatory bowel disease.Which intervention should the nurse discuss with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale.The nurse should monitor the patient for which expected finding if heart failure is present?

Correct Answer is B

Explanation

A patient with chronic obstructive pulmonary disease (COPD) is being discharged home with a new prescription for an inhaled bronchodilator.Which instruction should the nurse include in the discharge teaching?

Correct Answer is A

Explanation

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