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A client has just been prescribed prednisone.

Which of the following assessment findings could be attributed to this medication?

A.

Lowered blood pressure

B.

Abdominal distention

C.

Reduced blood glucose

D.

Weight loss of 2 pounds

Answer and Explanation

The Correct Answer is B

Choice A rationale
Prednisone is a corticosteroid, and one of its effects can be fluid retention, which can lead to an increase in blood pressure. Therefore, lowered blood pressure is not typically associated with prednisone use.
Choice B rationale
Abdominal distention can be a side effect of prednisone. This can occur due to fluid retention or increased appetite, both of which can be effects of prednisone.
Choice C rationale
Prednisone can actually cause an increase in blood glucose levels, not a reduction. This is because prednisone can stimulate the liver to release extra glucose and can also make body tissues less sensitive to insulin.
Choice D rationale
Weight gain, not weight loss, is a common side effect of prednisone. This can occur due to increased appetite and fluid retention.
 


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Related Questions

Correct Answer is B

Explanation

Choice A rationale
While a blood culture could be useful in diagnosing a systemic infection, it would not be the most appropriate intervention for a patient reporting watery diarrhea and abdominal cramps after 2 weeks of antibiotic therapy.
Choice B rationale
A stool sample should be collected to test for Clostridium difficile. This bacterium can overgrow in the gut during antibiotic therapy, leading to symptoms such as watery diarrhea and abdominal cramps.
Choice C rationale
Discontinuing the antibiotic immediately may not be the best course of action without confirming the cause of the symptoms.
Choice D rationale
Prescribing an antidiarrheal could alleviate discomfort, but it would not address the underlying cause of the symptoms.

Correct Answer is A

Explanation

Choice A rationale
Metformin is an oral antidiabetic medication that is typically withheld on the morning of surgery due to the risk of lactic acidosis, especially if the surgery involves the use of contrast dye.
Choice B rationale
Metoprolol is a beta-blocker used to treat hypertension and other heart conditions. It is typically continued up to and including the day of surgery to maintain heart rate and blood pressure control.
Choice C rationale
Prednisone is a corticosteroid medication. If a patient is on long-term corticosteroid therapy, it is typically continued on the day of surgery to prevent adrenal insufficiency.
Choice D rationale
Levothyroxine is a thyroid hormone replacement medication. It is typically continued on the day of surgery to maintain thyroid hormone levels.

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