A client has begun reporting nausea and vomiting.
What would the nurse assess to determine the need for therapy?

Number of times client’s family reports the client is nauseated.

How well the client is eating.

Color and amount of vomit, and frequency of vomiting episodes.

Client’s nutritional status and fluid balance.

Answer and Explanation

The Correct Answer is C

The nurse would assess these factors to determine the need for therapy. Some possible explanations for the other choices are:

Choice A. Number of times client’s family reports the client is nauseated.

This is not a reliable indicator of the severity or cause of nausea and vomiting.

The nurse should assess the client directly and not rely on the family’s reports.

Choice B. How well the client is eating.

This is not a specific or objective measure of nausea and vomiting.

The client may have other reasons for not eating well, such as loss of appetite, taste changes, or pain.

The nurse should also monitor the client’s weight, hydration status, and electrolyte levels.

Choice D. Client’s nutritional status and fluid balance.

These are important aspects of the client’s overall health, but they are not directly related to nausea and vomiting.

The nurse should assess these factors as part of the comprehensive care plan, but they are not sufficient to determine the need for therapy.

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Correct Answer is A

Explanation

This is the recommended dosage for the prevention and treatment of osteoporosis in postmenopausal women.

Choice B is wrong because 70 mg once a week is the dosage for alendronate (Fosamax), not ibandronate.

Choice C is wrong because 400 mg/d is the dosage for etidronate (Didronel), not ibandronate.

Choice D is wrong because ibandronate should be taken on an empty stomach, at least 60 minutes before food or drink.

A. To decrease adrenal suppression. B. To eliminate adverse side effects. C. To prevent steroid tolerance. D. To prolong therapeutic effects.

Correct Answer is A

Explanation

Prednisone is a glucocorticoid that suppresses the production of natural cortisol by the adrenal glands. Taking prednisone on alternate days allows the adrenal glands to recover and produce some cortisol on the days without prednisone.

Corticosteroids and Adrenal Glands

Choice B is wrong because prednisone does not eliminate adverse side effects, but may cause some such as weight gain, fluid retention, increased blood pressure, increased blood glucose, and increased risk of infection.

Choice C is wrong because there is no evidence of steroid tolerance, which means that higher doses are needed to achieve the same effect.

Choice D is wrong because prednisone does not prolong therapeutic effects, but may decrease them over time due to feedback inhibition of cortisol secretion.

Normal ranges for cortisol are 6 to 23 mcg/dL in the morning and 2 to 11 mcg/dL in the afternoon.

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A client has begun reporting nausea and vomiting. What would the nurse assess to determine the need for therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching the client with a new prescription for ibandronate how to take the medication. Which instruction provided by the nurse is correct?

Correct Answer is A

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Correct Answer is A

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A client has begun reporting nausea and vomiting.
What would the nurse assess to determine the need for therapy?