A nurse is caring for a client who is receiving prednisone on a long-term basis to treat inflammatory bowel disease.
Which of the following actions should the nurse take?

Instruct the client to obtain annual immunizations.

Monitor the client for hypotension.

Monitor the client frequently for episodes of hypoglycemia.

Instruct the client to consume a diet high in calcium.

Answer and Explanation

The Correct Answer is D

Long-term use of prednisone can lead to a decrease in bone density and an increased risk of osteoporosis.

Consuming a diet high in calcium can help to maintain bone health and reduce the risk of osteoporosis.

Choice A is wrong because while it is important for individuals taking prednisone to receive immunizations, they should not receive live vaccines due to the immunosuppressive effects of prednisone.

Choice B is wrong because prednisone can cause hypertension, not hypotension.

Choice C is wrong because prednisone can cause hyperglycemia, not hypoglycemia.

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Correct Answer is B

Explanation

The correct answer is Choice B.

Choice A rationale:

Documenting the administration of the medication is crucial for maintaining accurate records and ensuring accountability. However, it is not the first action to take. The priority is to ensure the correct patient receives the correct medication.

Choice B rationale:

Identifying the client using two identifiers is the first and most critical step. This action ensures that the right patient receives the right medication, thereby minimizing the risk of medication errors.

Choice C rationale:

Comparing the amount of medication available to the inventory record is important for maintaining accurate inventory and preventing misuse or theft of controlled substances. However, this is not the first step in the process of administering medication to a patient in pain.

Choice D rationale:

Removing the medication from the medication dispensing cabinet is part of the process, but it should only be done after the patient has been properly identified to avoid any potential errors.

A. Decreased percentage of body fat. B. Decreased renal function. C. Multiple health problems. D. Polypharmacy. E. Increased rate of absorption.

Correct Answer is ["B","C","D"]

Explanation

These are all risk factors for an adverse drug reaction in older adults.

Decreased renal function is a disease-related factor that can increase the risk of adverse drug reactions.

Multiple health problems or complex comorbidity can also increase the risk of adverse drug reactions.

Polypharmacy is a medication-related factor that can increase the risk of adverse drug reactions.

Choice A is wrong because Decreased percentage of body fat, is not an answer because it is not mentioned as a risk factor for adverse drug reactions in older adults in the search results.

Choice E, Increased rate of absorption, is not an answer because it is not mentioned as a risk factor for adverse drug reactions in older adults in the search results.

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A nurse is caring for a client who is receiving prednisone on a long-term basis to treat inflammatory bowel disease. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?

Correct Answer is B

Explanation

A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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A nurse is caring for a client who is receiving prednisone on a long-term basis to treat inflammatory bowel disease.
Which of the following actions should the nurse take?