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A client with diabetes mellitus is being admitted to the hospital for surgery. The client has been taking Glucocorticoids (Prednisone) long-term for uncontrolled COPD. Which of the following must the nurse consider when she is obtaining a health history? (Select All that Apply.)

Due to the use of long-term glucocorticoids her medication must not be abruptly discontinued to avoid adrenal suppression

The client may develop low blood pressure

The use of long-term glucocorticoids places the client at risk for increased susceptibility to infection

The use of long-term glucocorticoids may have contributed to a spike in blood glucose levels

The client will most likely experience more pain

Answer and Explanation

Correct Answer : A,C,D

The nurse must consider the following when obtaining a health history for a client with diabetes mellitus who has been taking glucocorticoids (prednisone) long-term for uncontrolled COPD:

Due to the use of long-term glucocorticoids, the medication must not be abruptly discontinued to avoid adrenal suppression. Abruptly stopping glucocorticoids can lead to adrenal insufficiency and a potentially life-threatening condition. Gradual tapering of the medication is necessary under medical supervision.
The use of long-term glucocorticoids may contribute to a spike in blood glucose levels. Glucocorticoids can cause insulin resistance and increase blood sugar levels, which can be problematic for individuals with diabetes mellitus.
The use of long-term glucocorticoids places the client at risk for increased susceptibility to infection. Glucocorticoids can suppress the immune system, making the client more susceptible to infections. This is important to consider, especially in a hospital setting where the risk of acquiring infections may be higher.

Regarding the other options:

The client may develop low blood pressure: While glucocorticoids can cause fluid retention and increased blood pressure, they are not typically associated with low blood pressure.

The client will most likely experience more pain: The use of glucocorticoids is not directly related to increased pain perception. Pain management may be influenced by various factors, but it is not specifically attributed to long-term glucocorticoid use.

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Correct Answer is B

Explanation

The nurse will tell the patient that second-generation antihistamines are generally considered safer than first-generation antihistamines during pregnancy. While the safety of medications during pregnancy is a complex topic and individualized recommendations should be obtained from a healthcare provider, second-generation antihistamines such as loratadine (Claritin) and cetirizine (Zyrtec) are often preferred over first-generation antihistamines like diphenhydramine (Benadryl) due to their lower potential for sedation and other side effects. However, it is still important for the patient to consult with her healthcare provider for personalized advice on medication use during pregnancy.

A. "This pill is probably from a different lot number than yours at home." B. "This hospital might use a different manufacturer, but the medication is the same." C. "This is the medication prescribed by your provider" D. "Describe what the pill looks like."

Correct Answer is D

Explanation

A. "This pill is probably from a different lot number than yours at home." While lot numbers may vary between different batches of medications, it does not address the client's concern about the difference in appearance. It does not provide a direct explanation or reassurance regarding the medication they are about to take.

B. "This hospital might use a different manufacturer, but the medication is the same." This response acknowledges the possibility of a different manufacturer but does not directly address the client's concern about the difference in appearance. It may not provide sufficient reassurance regarding the medication they are about to receive.

c."This is the medication prescribed by your provider." This does not address the client's concern about the medication's appearance and may dismiss the possibility of an error.

D. "Describe what the pill looks like." This response allows the nurse to gather more information, verify the medication, and ensure that the correct medication is being administered.

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A client with diabetes mellitus is being admitted to the hospital for surgery. The client has been taking Glucocorticoids (Prednisone) long-term for uncontrolled COPD. Which of the following must the nurse consider when she is obtaining a health history? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pregnant patient asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the patient?

Correct Answer is B

Explanation

A nurse is preparing to administer a medication to a client who states. "That looks different from the pill I usually take." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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