A male client reports to the nurse that he is experiencing gastrointestinal (GI) distress from a high dose of a corticosteroid and is planning to stop taking the medication. In response to the client's statement, which nursing action is most important for the nurse to Implement?

Assess the client for other indications of adverse effects of corticosteroid use.

Advise the client that the medication should be stopped gradually rather than abruptly.

Encourage the client to take the medication with food to decrease Gl distress.

Review the client's dosing schedule to ensure he is taking the prescribed amount.

Answer and Explanation

The Correct Answer is B

A. Assess the client for other indications of adverse effects of corticosteroid use: While important, this action does not address the immediate issue of stopping the medication safely.
B. Advise the client that the medication should be stopped gradually rather than abruptly: Corticosteroids should not be stopped suddenly due to the risk of adrenal insufficiency and withdrawal symptoms. Gradual tapering is necessary to safely discontinue the medication.
C. Encourage the client to take the medication with food to decrease GI distress: This can help manage GI symptoms but does not address the issue of safely discontinuing the medication.
D. Review the client's dosing schedule to ensure he is taking the prescribed amount: This is useful but does not resolve the problem of safely stopping the medication.

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Correct Answer is B

Explanation

A) Maintain a cool, calm room environment: While a calm environment can be beneficial for overall patient well-being, it is not specifically related to the care of a client on clopidogrel. This instruction does not address the direct needs or precautions associated with clopidogrel use.
B) Provide the client with a soft toothbrush: Clopidogrel is an antiplatelet medication that increases the risk of bleeding. To minimize gum bleeding and oral mucosal damage, it is crucial to use a soft toothbrush to prevent injury. This measure helps to reduce the risk of bleeding complications associated with the medication.
C) Allow the client ample rest periods: While rest is important for overall health, it is not specifically related to the precautions needed for a client on clopidogrel. The primary concern with clopidogrel is managing bleeding risks rather than providing rest.
D) Keep the head of the bed elevated: Elevating the head of the bed is generally useful for managing certain conditions like respiratory issues or gastrointestinal reflux but does not directly relate to the specific needs of a client taking clopidogrel. The focus for clients on clopidogrel should be on preventing bleeding complications.

A. Coronary artery disease. B. Seasonal allergic rhinitis. C. Type 2 diabetes mellitus. D. Irritable bowel syndrome.

Correct Answer is A

Explanation

A) Coronary artery disease: It is crucial to assess for a history of coronary artery disease (CAD) before administering sumatriptan, as the medication is a serotonin receptor agonist that can cause vasoconstriction of coronary arteries. This can increase the risk of serious cardiovascular events, such as heart attack or stroke, particularly in clients with preexisting CAD.

B) Seasonal allergic rhinitis: While seasonal allergic rhinitis may be a concern for other medications due to potential allergic reactions or interactions, it is not directly related to the administration of sumatriptan. This condition does not pose a significant risk with the use of sumatriptan.

C) Type 2 diabetes mellitus: Although type 2 diabetes mellitus is an important consideration in the overall health management of a client, it is not the most critical condition to assess before administering sumatriptan. However, if the client has diabetes with associated complications like cardiovascular disease, this would increase concern for using sumatriptan.

D) Irritable bowel syndrome: Irritable bowel syndrome (IBS) is a gastrointestinal disorder that typically does not influence the decision to administer sumatriptan. While IBS may affect a client’s comfort or medication regimen, it does not present the same immediate risks as coronary artery disease when using sumatriptan.

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A male client reports to the nurse that he is experiencing gastrointestinal (GI) distress from a high dose of a corticosteroid and is planning to stop taking the medication. In response to the client's statement, which nursing action is most important for the nurse to Implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which instruction should the nurse provide an unlicensed assistive personnel (UAP) who is assisting with the personal care of a client receiving clopidogrel?

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Correct Answer is A

Explanation

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