A client diagnosed with type II diabetes is prescribed prednisone for an acute exacerbation of inflammatory bowel disease. Which management strategy should the nurse discuss with the client?
Notifying the healthcare provider if they are experiencing a moon phase.
Taking the steroid medication as prescribed.
Notifying the healthcare provider if the blood glucose level is over 150 mg/dL.
Taking this medication on an empty stomach.
The Correct Answer is B
A. "Moon phase" is not a correct term related to prednisone use. The term "moon face" refers to the round, puffy face that can result from prolonged steroid use, which is a side effect, but it is not something the patient needs to notify the healthcare provider about unless it is accompanied by other severe symptoms.
B. Taking the steroid medication as prescribed is essential. Prednisone is a corticosteroid, and missing doses or abruptly stopping the medication can lead to complications such as adrenal insufficiency. It's important for the client to adhere to the prescribed regimen to manage inflammation and minimize the risk of side effects.
C. Steroids like prednisone can cause increased blood glucose levels, so it's important for the client to monitor blood glucose more frequently. If blood glucose levels exceed 150 mg/dL, they should notify their healthcare provider, but this is not the immediate management strategy for this scenario.
D. Prednisone should be taken with food to reduce gastrointestinal irritation, not on an empty stomach. Taking it without food can increase the risk of stomach upset and ulcers, particularly in patients with inflammatory bowel disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A decrease in the white blood cell count toward normal levels indicates that the infection is responding to antibiotic treatment. A WBC count of 6000/μL is within the normal range for adults (usually 4,000–11,000/μL), which suggests that the body is no longer fighting a significant infection.
B. Bronchial breath sounds heard at the right base indicate consolidation, a sign of ongoing pneumonia or unresolved infection. This would suggest that the infection is not yet controlled, rather than an improvement.
C. Increased tactile fremitus indicates consolidation, which is commonly seen in pneumonia. It suggests that the infection is still present and has not resolved with treatment.
D. Green mucus can indicate the presence of purulent sputum and ongoing infection. Although the color of the mucus may change during the course of pneumonia, the presence of green mucus does not confirm that the infection is resolving, especially after three days of antibiotics.
Correct Answer is C
Explanation
A. Hypermagnesemia is not typically associated with refeeding syndrome. In fact, hypomagnesemia is more common due to the rapid shift of electrolytes and the body's increased demand during refeeding.
B. Hyponatremia is not a hallmark of refeeding syndrome. This condition more commonly leads to electrolyte imbalances like hypophosphatemia, hypokalemia, and hypomagnesemia rather than low sodium levels.
C. Hypophosphatemia is a hallmark finding in refeeding syndrome. As the body shifts from catabolic to anabolic states during refeeding, phosphorus is rapidly used in cellular processes, and its levels drop, which can lead to muscle weakness, respiratory failure, and other complications.
D. Hyperkalemia is not typically associated with refeeding syndrome. The condition is more likely to cause hypokalemia due to the shift of potassium into cells during the anabolic process after refeeding.
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