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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

The nurse should monitor the client for hypokalemia as an adverse effect of hydrochlorothiazide.

Hypokalemia refers to a low level of potassium in the blood.

Choice A is wrong because hypermagnesemia is not a commonly reported adverse effect of hydrochlorothiazide.

Choice B is wrong because hypernatremia is not a commonly reported adverse effect of hydrochlorothiazide.

Choice C is wrong because hypocalcemia is not a commonly reported adverse effect of hydrochlorothiazide.

A. "Administer the medication into one nostril once per week.” B. "Lie down for 1 hour after administering the medication.” C. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose.” D. "Plan to self-administer this medication for the next 6 months.”

Correct Answer is A

Explanation

Nasal cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia.

It is typically administered once per week into one nostril.

Choice B is wrong because there is no need to lie down for 1 hour after administering the medication.

Choice C is wrong because using a nasal decongestant before administering the medication is not necessary and may interfere with the absorption of the medication.

Choice D is wrong because the duration of treatment with nasal cyanocobalamin varies and should be determined by the provider based on the client’s individual needs.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

Correct Answer is D

Explanation

A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility. Which of the following actions should the nurse take?

A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?

A nurse on a medical-surgical unit is preparing to administer an influenza vaccine to a client. The client tells the nurse, "I no longer want to receive this vaccine." Which of the following responses should the nurse make?

A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis and a prescription for cyclosporine. The nurse should report which of the following laboratory values to the provider?

A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take?

A nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film. Which of the following methods should the nurse use to administer this medication?

A nurse is preparing to administer medications to a group of clients. Which of the following prescriptions should the nurse clarify with the provider before administering?

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?